Statement of Enforcement Discretion for Referral Certification and Authorization Transaction Standard at 45 CFR § 162.1302 for HIPAA Covered Entities Subject to the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) that Implement an…
This document announces enforcement discretion by the Department of Health and Human Services regarding FHIR-based Prior Authorization APIs for HIPAA covered entities, aiming to streamline the process and clarify requirements under the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F). It is intended for relevant entities and stakeholders in healthcare interoperability.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 28, 2024
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.