# CMS proposes rule for electronic prior authorization of drugs (CMS-0062-P)

Canonical: https://www.flobotics.io/rcm-industry-news/cms-electronic-prior-authorization-drugs-rule
Published: 2026-04-10
Updated: 2026-07-19

---

[Home](https://www.flobotics.io/)/[RCM industry news](https://www.flobotics.io/rcm-industry-news)/CMS proposes rule for electronic prior authorization of…
Regulatory & CMS

# CMS proposes rule for electronic prior authorization of drugs (CMS-0062-P)

CMSApril 10, 2026

A proposed CMS rule extends electronic prior authorization requirements from non-drug items to drugs, adopts FHIR standards for prior auth transactions and mandates API metrics reporting. Most compliance dates begin October 1, 2027.

CMS now proposes to require impacted payers to incorporate coverage and documentation requirements into those APIs to support the electronic prior authorization of drugs covered under a medical benefit beginning October 1, 2027.

Source: [CMS](https://www.cms.gov/newsroom/fact-sheets/2026-cms-interoperability-standards-prior-authorization-drugs-proposed-rule)

CMS now proposes to require impacted payers to incorporate coverage and documentation requirements into those APIs to support the electronic prior authorization of drugs covered under a medical benefit beginning October 1, 2027.

Source: [CMS](https://www.cms.gov/newsroom/fact-sheets/2026-cms-interoperability-standards-prior-authorization-drugs-proposed-rule)

Let’s talk!
It’s a 30-minute call. Within the first 15, we’ll know if automation works for you.

[Book a call →](https://tidycal.com/team/flobotics/flobotics-intro-call-w)

Find even more

## Related news & updates

The latest industry news, interviews, technologies, and resources.

[

Prior Authorization

### Abridge teams with Availity to scale real-time prior authorization

An integration between Abridge and Availity aims to speed prior authorization from weeks to minutes, shifting the process from post-visit to real time during the patient exam.

Fierce HealthcareJuly 19, 2026

](https://www.flobotics.io/rcm-industry-news/abridge-availity-real-time-prior-auth)[

Revenue Cycle Management

### Athenahealth rolls out 80+ AI-native revenue cycle features

Athenahealth built more than 80 AI-native features into athenaOne, targeting high-friction tasks such as insurance verification, coding, prior authorization and denials. AI voice agents place over 23,000 prior authorization calls each month, some completed in under an hour.

Becker's Hospital ReviewJune 3, 2026

](https://www.flobotics.io/rcm-industry-news/athenahealth-80-ai-native-revenue-cycle-tools)[

Prior Authorization

### Optum unveils two new AI tools for digital prior authorization

Optum is launching two AI tools — Digital Auth Complete and InterQual Auth Accelerator — to cut prior authorization delays. Digital Auth Complete integrates into the EHR and automates multiple parts of the process to return responses faster.

Fierce HealthcareJuly 19, 2026

](https://www.flobotics.io/rcm-industry-news/optum-ai-digital-prior-authorization-tools)

[All RCM news →](https://www.flobotics.io/rcm-industry-news)