Federal Interoperability

Federal Interoperability

Federal Interoperability

The Centers for Medicare & Medicaid Services (CMS) with its federal partners works to improve timely and accurate data exchange, partner with industry to enhance digital capabilities, advance adoption of Fast Healthcare Interoperability Resources® (FHIR), support enterprise transformation efforts that increase the Agency’s technological capabilities, and promote interoperability.

Key Federal Government Interoperability Milestones

Key Interoperability Milestones 2023


  • The Office of the National Coordinator for Health Information Technology (ONC) Recognized Coordinating Entity begins onboarding the first Qualified Health Information Networks (QHINs) under the Trusted Exchange Framework & Common Agreement (TEFCA)

Key Interoperability Milestones 2022


  • ONC Cures Act final rule policies become effective
  • ONC releases a Request For Information (RFI) on electronic prior authorization in ONC certification
  • CMS releases Advancing Interoperability and Improving Prior Authorization Processes proposed rule
  • CMS releases RFI on establishing National Directory of Healthcare Providers & Services
  • ONC releases TEFCA version 1.0

Key Interoperability Milestones 2021


  • CMS Patient Access final rule policies become effective
  • CMS heeds stakeholder feedback and delays enforcement of Payer-to-Payer data exchange requirements

Key Interoperability Milestones 2020


  • CMS publishes Interoperability and Patient Access final rule
  • ONC publishes 21st Century Cures Act final rule
  • CMS publishes Reducing Provider and Patient Burden by Improving Prior Authorization Processes proposed rule (withdrawn)
  • CMS commits to transitioning to digital quality measures (dQMs)

Key Interoperability Milestones 2019


  • Meaningful Use becomes Promoting Interoperability Programs

Key Interoperability Milestones 2018


  • CMS launches Blue Button 2.0

Key Interoperability Milestones 2009


  • Congress passes Health Information Technology for Economic and Clinical Health (HITECH) Act; establishes EHR Incentive Program ("Meaningful Use")

Page Last Modified:
09/14/2023 11:42 AM