Patient Access API – Is your plan compliant?

CMS has mandated the Patient Access API and Provider Directory policies for Medicare Advantage (MA), Medicaid, and the Children’s Health Insurance Program (CHIP) which are already effective since January 1, 2021.

CMS Data Interoperability Rules

The Interoperability and Patient Access final rule (CMS-9115-F) delivers on the Administration’s promise to put patients first, giving them access to their health information when they need it most and in a way they can best use it. As part of the Trump Administration’s MyHealthEData initiative, this final rule is focused on driving interoperability and patient access to health information by liberating patient data using CMS authority to regulate Medicare Advantage (MA), Medicaid, CHIP, and Qualified Health Plan (QHP) issuers on the Federally-facilitated Exchanges (FFEs).

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