Prior Authorization Final Rule 2025. Beginning in 2026, the final rule will require payers to provide a specific reason for denying a prior authorization request, regardless of the method used to send the request. Beginning primarily in 2026, impacted payers (not including qhp issuers on the ffes) will be required to send prior authorization decisions within 72 hours for expedited (i.e.,.
The cms final rule on prior authorizations was adopted in january 2024, with many provisions set to take effect in 2026. On january 17, 2025, the drug enforcement administration (dea) announced a proposed rule to establish a special registration framework for prescribing controlled substance medications via.
Prior Authorization Final Rule 2025 Images References :
