Prior Authorization Is Changing Forever: The CMS Interoperability Rule Every Clinician Must Prepare for Before 2027

Key Takeaway The CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) requires Medicare Advantage plans, Medicaid managed care organizations, CHIP, and qualified health plan issuers on the federal exchange to implement electronic prior authorization APIs by January 1, 2027, with public metric reporting effective as early as 2026. For clinicians, this means faster turnaround times […] The post Prior Authorization Is Changing Forever: The CMS Interoperability Rule Every Clinician Must Prepare for Before 2027 appeared first on Continuum .