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HHS/CMS RIN: 0938-AT94 Publication ID: Spring 2020 
Title: Secure Electronic Prior Authorization for Part D Drugs (CMS-4189) 
Abstract:

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 (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.

 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: No  Unfunded Mandates: No 
EO 13771 Designation: Not subject to, not significant 
CFR Citation: 42 CFR 423   
Legal Authority: Pub. L. 115-271, sec. 6062    42 U.S.C. 1302 and 1306    42 U.S.C. 1395w-101 to 1395w-152    42 U.S.C. 1395hh   
Legal Deadline:
Action Source Description Date
Final  Statutory  SUPPORT Act requires establishing an electronic prior authorization system for Medicare Part D by January 1, 2021.  01/01/2021 
Timetable:
Action Date FR Cite
NPRM  06/19/2019  84 FR 28450   
NPRM Comment Period End  08/16/2019 
Final Action  01/00/2021 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Christian Bauer
Director, Division of Part D Policy
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare, MS: C1-26-16, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-6043
Email: christian.bauer@cms.hhs.gov