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CMS Interoperability and Patient Access Final Rule

CMS Interoperability and Patient Access Final Rule (CMS-9115-F). Convert and load 5 years of Patient Data. This final rule focused on driving interoperability and patient access to health information by liberating patient data using CMS authority to regulate Medicare Advantage (MA), Medicaid, Children's Health Insurance Program (CHIP), and Qualified Health Plan (QHP) issuers on the Federally-facilitated Exchanges (FFEs).

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CMS Interoperability and Patient Access Final Rule (CMS-9115-F). Convert and load 5 years of Patient Data for Medicare Advantage (MA), Medicaid, Children's Health Insurance Program (CHIP), and Qualified Health Plan (QHP) issuers on the Federally-facilitated Exchanges (FFEs).

Patient Access API -

• The CARIN Consumer Directed Payer Data Exchange IG (also referred to as the CARIN IG for Blue Button®)

• HL7 FHIR Da Vinci PDex IG

• HL7 US Core IG

• HL7 FHIR Da Vinci - PDex US Drug Formulary IG

Payer-to-Payer API - Da Vinci Payer Data Exchange

Provider Directory API - HL7 FHIR Da Vinci PDex Plan Net IG

Prior Authorization Support (PAS) API - HL7 FHIR Da Vinci - PAS IG

Documentation Requirements Lookup Service API - HL7 FHIR Da Vinci - Coverage Requirements Discovery (CRD) IG, HL7 FHIR Da Vinci - Documentation Templates and Rules (DTR) IG

Bulk Data - HL7 FHIR Bulk Data Access(Flat FHIR) Specification

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