April 2020


CMS Delays Implementation of the Interoperability Rules

The Center for Medicare and Medicaid Services (CMS) announced a 6-month delay in implementation of the Interoperability and Patient Access final rule (CMS-9115-F). The rule, which would require Medicare Advantage, Medicaid, and the Children’s Health Insurance Program (CHIP) dental plans to develop provider registry and patient data APIs will not be enforced until July 1, 2021.

In May 2019, NADP commented in opposition to the inclusion of dental plans in the rule’s requirements, citing cost concerns for plans, the likely lack of dental data utilization by patients, and privacy issues. This argument was in line with the Administration’s own reasoning for exempting standalone dental plans (SADPs) on Federally Facilitated Exchanges (FFEs) from the rule.


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