REGULATORY REVIEW: Prior Authorization Policies Gain Steam

REGULATORY REVIEW

A map of the US shown in blue and yellow.

Prior Authorization Policies Gain Steam

ASCs in 10 states are now part of a demonstration project for certain services

BY ALEX TAIRA | JANUARY 2026

KEY LEARNINGS

  • CMS specified 41 codes for the project
  • There are fewer than 100 FFS Medicare claims nationwide for 21 of the 41 codes

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