{"id":25144,"date":"2025-11-13T07:55:13","date_gmt":"2025-11-13T12:55:13","guid":{"rendered":"https:\/\/medicarereport.org\/?p=25144"},"modified":"2025-11-13T07:55:25","modified_gmt":"2025-11-13T12:55:25","slug":"8-things-to-know-about-the-medicare-prior-authorization-pilot-program","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=25144","title":{"rendered":"8 things to know about the Medicare prior authorization pilot program"},"content":{"rendered":"\n<p>(By: Elizabeth Casolo for <em>Becker&#8217;s Hospital Review<\/em>)<\/p>\n\n\n\n<p>The Wasteful and Inappropriate Service Reduction initiative from CMS will take effect next year, adding prior authorization requirements to traditional Medicare. Providers in Arizona, Washington, New Jersey, Texas, Ohio and Oklahoma will pilot the new protocol.  Continue reading <a href=\"https:\/\/www.beckerspayer.com\/policy-updates\/4-things-to-know-about-the-medicare-prior-authorization-pilot-program\/\" data-type=\"link\" data-id=\"https:\/\/www.beckerspayer.com\/policy-updates\/4-things-to-know-about-the-medicare-prior-authorization-pilot-program\/\">here&#8230;<\/a><\/p>\n\n\n\n<p><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"100\" class=\"wp-image-13869\" style=\"width: 150px;\" src=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2019\/08\/dreamstime_m_59080374health-care-reformID-59080374-\u00a9-Kritchanut-Dreamstime.com_.jpg\" alt=\"\" srcset=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2019\/08\/dreamstime_m_59080374health-care-reformID-59080374-\u00a9-Kritchanut-Dreamstime.com_.jpg 2121w, https:\/\/medicarereport.org\/wp-content\/uploads\/2019\/08\/dreamstime_m_59080374health-care-reformID-59080374-\u00a9-Kritchanut-Dreamstime.com_-300x200.jpg 300w, https:\/\/medicarereport.org\/wp-content\/uploads\/2019\/08\/dreamstime_m_59080374health-care-reformID-59080374-\u00a9-Kritchanut-Dreamstime.com_-768x512.jpg 768w, https:\/\/medicarereport.org\/wp-content\/uploads\/2019\/08\/dreamstime_m_59080374health-care-reformID-59080374-\u00a9-Kritchanut-Dreamstime.com_-1024x683.jpg 1024w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/p>\n\n\n\n<p class=\"has-small-font-size\"><strong>Notice:<\/strong>\u00a0The 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\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>(By: Elizabeth Casolo for Becker&#8217;s Hospital Review) The Wasteful and Inappropriate Service Reduction initiative from CMS will take effect next<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32,21,20,6,846],"tags":[80,385,238,61,1883,1813],"class_list":["post-25144","post","type-post","status-publish","format-standard","hentry","category-cms","category-health-care-finance","category-health-care-redesign","category-medicare-general","category-prior-authorization","tag-cms","tag-healthcare-costs","tag-healthcare-finance","tag-medicare","tag-prior-authorization-requirements","tag-wiser-model"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/25144","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=25144"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/25144\/revisions"}],"predecessor-version":[{"id":25145,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/25144\/revisions\/25145"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25144"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=25144"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=25144"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}