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CMS requests approval to expand PA Demo to 12 additional states

Date Published: April 07 2014

In an April 4 emergency federal register notice, the Centers for Medicare & Medicaid Services (CMS) details plans to expand its prior authorization program to 12 new states: Pennsylvania, Ohio, Louisiana, Missouri, Maryland, New Jersey, Indiana, Kentucky, Georgia, Tennessee, Washington and Arizona.

Part of the approval process is the completion and approval of a Paperwork Reduction Act (PRA) package. The PRA package was filed on April 3, 2014 and published on April 4, 2014. The PRA package can be found at http://federalregister.gov/a/2014-07577. The comment period will be open until April 18, 2014. CMS will then review the comments and continue to work toward approval to expand the demonstration.

The expansion will bring the total number of demo states to 19. The original seven states are not affected by this expansion, and the original demonstration requirements remain the same for all 19 states.

For up-to-date information about Prior Authorization, CLICK HERE 

To view a copy of the April 4, 2014 emergency federal register notice, CLICK HERE

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