{"id":22278,"date":"2024-01-03T08:03:27","date_gmt":"2024-01-03T13:03:27","guid":{"rendered":"https:\/\/medicarereport.org\/?p=22278"},"modified":"2024-01-03T08:03:28","modified_gmt":"2024-01-03T13:03:28","slug":"new-cms-prior-authorization-rule-takes-effect","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=22278","title":{"rendered":"New CMS prior authorization rule takes effect"},"content":{"rendered":"\n<p>(By Andrew Cass\u00a0for <em>Becker&#8217;s Hospital Review<\/em>)<\/p>\n\n\n\n<p>A new CMS rule aiming to streamline Medicare Advantage and Part D prior authorizations took effect Jan. 1.<\/p>\n\n\n\n<p>CMS issued the final rule in April. It requires that coordinated care plan prior authorization policies may only be used to confirm the presence of diagnoses or other medical criteria and\/or ensure that an item or service is medically necessary, according to a CMS fact sheet.  Continue reading <a href=\"https:\/\/www.beckerspayer.com\/policy-updates\/new-cms-prior-authorization-rule-takes-effect.html\" data-type=\"link\" data-id=\"https:\/\/www.beckerspayer.com\/policy-updates\/new-cms-prior-authorization-rule-takes-effect.html\">here&#8230;<\/a><\/p>\n\n\n\n<p><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"75\" class=\"wp-image-10228\" style=\"width: 150px;\" src=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/04\/CMS-logo-2-e1524659904197.jpg\" alt=\"\"><\/p>\n\n\n\n<p class=\"has-small-font-size\"><strong>Notice:<\/strong>&nbsp;The link provided above connects readers to the full content of the posted article. The URL (internet address) for this link is valid on the posted date; medicarereport.org cannot guarantee the duration of the link\u2019s validity. Also, the opinions expressed in these postings are the viewpoints of the original source and are not explicitly endorsed by AMAC, Inc.; the AMAC Foundation, Inc.; or medicarereport.org<\/p>\n","protected":false},"excerpt":{"rendered":"<p>(By Andrew Cass\u00a0for Becker&#8217;s Hospital Review) A new CMS rule aiming to streamline Medicare Advantage and Part D prior authorizations<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32,9,15,846],"tags":[80,62,796,65,442],"class_list":["post-22278","post","type-post","status-publish","format-standard","hentry","category-cms","category-medicare-advantage","category-part-dprescription-drugs","category-prior-authorization","tag-cms","tag-medicare-advantage","tag-medicare-advantage-prior-authorization","tag-medicare-part-d","tag-prior-authorization"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/22278","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=22278"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/22278\/revisions"}],"predecessor-version":[{"id":22279,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/22278\/revisions\/22279"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=22278"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=22278"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=22278"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}