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2020-12-31
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Medicare Program; Secure Electronic Prior Authorization For Medicare Part D
Rules and Regulations
D09002ee1bdb2cac6
D09002ee1bdb2cbae
United States
Department of Health and Human Services
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org
United States Government Agency or Subagency
United States
Centers for Medicare & Medicaid Services
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org
United States Government Agency or Subagency
This final rule names a new transaction standard for the Medicare Prescription Drug Benefit program's (Part D) e-prescribing program as required by the ``Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act'' or the ``SUPPORT Act.'' Under the SUPPORT Act, the Secretary is required to adopt standards for the Part D e-prescribing program to ensure secure electronic prior authorization request and response transmissions. In this final rule, we amend the Part D e- prescribing regulations to require Part D plan sponsors' support of version 2017071 of the National Council for Prescription Drug Programs (NCPDP) SCRIPT standard for use in certain electronic Prior Authorization (ePA) transactions with prescribers regarding Part D- covered drugs to Part D-eligible individuals.
85 FR 86824
https://www.govinfo.gov/app/details/FR-2020-12-31/2020-28877
2020-28877
fr31de20-6
RIN 0938-AT94
4120-01-P
CMS-4189-F
https://www.govinfo.gov/app/details/FR-2020-12-31/2020-28877
https://www.govinfo.gov/content/pkg/FR-2020-12-31/html/2020-28877.htm
https://www.govinfo.gov/content/pkg/FR-2020-12-31/pdf/2020-28877.pdf
Administrative Practice and Procedure
Emergency Medical Services
Health Facilities
Health Maintenance Organizations (Hmo)
Health Professionals
Incorporation by Reference
Medicare
Penalties
Privacy
Reporting and Recordkeeping Requirements
12 p.
86824
86835
85 FR 86824
Code of Federal Regulations
Title 42 Part 423
42 CFR Part 423
Regulation Identification Number 0938-AT94
RIN 0938-AT94
Medicare Program; Secure Electronic Prior Authorization For Medicare Part D; Federal Register Vol. 85, Issue
RULE
2020-28877
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
2021-02-01
CMS-4189-F
4120-01-P
2020-28877
Final rule.
This final rule names a new transaction standard for the Medicare Prescription Drug Benefit program's (Part D) e-prescribing program as required by the ``Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act'' or the ``SUPPORT Act.'' Under the SUPPORT Act, the Secretary is required to adopt standards for the Part D e-prescribing program to ensure secure electronic prior authorization request and response transmissions. In this final rule, we amend the Part D e- prescribing regulations to require Part D plan sponsors' support of version 2017071 of the National Council for Prescription Drug Programs (NCPDP) SCRIPT standard for use in certain electronic Prior Authorization (ePA) transactions with prescribers regarding Part D- covered drugs to Part D-eligible individuals.
These regulations are effective on February 1, 2021. The incorporation by reference of certain publications listed in the rule was approved by the Director of the Federal Register as of July 28, 2017.
Joella Roland (410) 786-7638.
Administrative Practice and Procedure
Emergency Medical Services
Health Facilities
Health Maintenance Organizations (Hmo)
Health Professionals
Incorporation by Reference
Medicare
Penalties
Privacy
Reporting and Recordkeeping Requirements
Medicare Program:
Secure Electronic Prior Authorization for Medicare Part D,
http://www.bls.gov/oes/current/oes_nat.htm
https://ncvhs.hhs.gov/meetings-meeting/all-past-meetings/
https://ncvhs.hhs.gov/wp-content/uploads/2014/05/140515lt2.pdf
https://www.cms.gov/About-CMS/story-page/patients-over-paperwork.html
https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/index.html?redirect=/EHRincentiveprograms
https://www.ncvhs.hhs.gov/wp-content/uploads/2016/01/Part-2-Attachments-NCPDP-WrittenOnly.pdf
Federal Register
Vol. 85, no. 251
Office of the Federal Register, National Archives and Records Administration
2020-12-31
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569 p.
Table of Contents:
AE 2.7:
GS 4.107:
AE 2.106:
KF70.A2
https://www.govinfo.gov/app/details/FR-2020-12-31
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0042-1219
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https://www.govinfo.gov/app/details/FR-2020-12-31
https://www.govinfo.gov/content/pkg/FR-2020-12-31/pdf/FR-2020-12-31.pdf
https://www.govinfo.gov/content/pkg/FR-2020-12-31/xml/FR-2020-12-31.xml
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2020-12-31
2023-04-27
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