Policies and Regulations
The Centers for Medicare & Medicaid Services (CMS) has issued two final rules related to interoperability and burden reduction. CMS also published a new proposed rule, the 2026 CMS Interoperability Standards and Prior Authorization for Drugs proposed rule in April 2026. To learn more, please refer to the overview or fact sheet on each rule's page.
2026 CMS Interoperability Standards and Prior Authorization for Drugs Proposed Rule (CMS-0062-P)
Read a summary of the proposed rule. The proposed rule will be available for public comment until June 15, 2026.
2020 CMS Interoperability and Patient Access Final Rule (CMS-9115-F)
Read a summary of the final rule and access guidance on implementation.
2024 CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F)
Learn how this final rule ensures patients remain at the center of their care through prior authorization processes.
Page Last Modified:
04/13/2026 08:31 AM