May 14, 2026
CMS Expands Electronic Prior Authorization Initiative
This week, the Centers for Medicare & Medicaid Services (CMS) announced the expansion of electronic prior authorization as part of its Health Tech Ecosystem initiative. Building on efforts that began in January 2026, CMS is strengthening collaboration among health plans, providers, and certified electronic health record (EHR) vendors, and digital health developers – alongside payers – to enable end-to-end, consistent electronic prior authorization workflows across the healthcare system.
Participants will also align with CMS interoperability and Prior Authorization Final Rule requirements, focusing on closing workflow gaps and improving technical coordination across stakeholders. Full implementation of electronic prior authorization infrastructure is expected by January 1, 2027.
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