Industry
AHA Launches Website Tracking Prior Authorization Rule Compliance
The American Hospital Association has launched a new website offering news and resources on prior authorization, timed to the approaching deadline for major provisions of the 2024 CMS Interoperability and Prior Authorization Final Rule. Those provisions take effect January 1, 2027, and will require impacted payers, including Medicaid and CHIP managed care plans, to streamline electronic prior authorization processes and shorten decision timeframes. The AHA site will be updated on an ongoing basis with new guidance and resources as hospitals and health systems prepare for changes to workflows, payer interactions, and information exchange.
Why it mattersHospitals and health systems need to begin reworking prior authorization and payer-interface systems now to meet the CMS rule's January 2027 compliance deadline.