Medicare and Medicaid Programs: Patient Protection and Affordable Care Act; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations, etc. on the Federally-Facilitated Exchanges, etc.

The Centers for Medicare and Medicaid Services issued a final rule designed to improve the electronic exchange of health care data and streamline processes related to prior authorization through new requirements for Medicare Advantage organizations, state Medicaid feefor-service programs, state Children’s Health Insurance Program FFS programs, Medicaid managed care plans, CHIP managed care entities, and Qualified Health Plan issuers on the federallyfacilitated exchanges