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CMS Proposes Prior Authorization Process To Get Around HIPAA

By Chelsea Cirruzzo / June 17, 2019 at 6:24 PM
CMS proposed a new rule on Monday (June 17) that would streamline the electronic prior authorization process for Medicare Part D by sidestepping certain Health Insurance Portability and Accountability Act (HIPAA) requirements and requiring Part D plans implement transaction standards developed by the National Council for Prescription Drug Plans (NCPDP). Under the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act), HHS is required to adopt standards for the Part D e-prescribing program...


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