CMS-0057-F & the 2027 Payer Deadlines Webinar
Speakers
Karen Iapoce RN-BC, MS, CPHQ, CMAC, CAPA, LSSBB
Date: January 28, 2027
January 1, 2027 brought one of the heaviest compliance loads health plans have faced. The API requirements of CMS-0057-F, the CMS Interoperability and Prior Authorization Final Rule, came due. States reached the federal deadline for Medicaid community engagement (work) requirements, new D-SNP enrollment limits took hold, and several state laws on AI in utilization management took effect. Four weeks in, our expert panel sorts what went live from what slipped and where regulators are looking first, so payer leaders can set compliance priorities for the rest of 2027.
What you'll learn
- What the CMS-0057-F Patient Access, Provider Access, Payer-to-Payer and Prior Authorization APIs require, and what “live” should mean
- How Medicaid work requirements and new D-SNP enrollment limits are changing enrollment and member outreach
- Which CY2027 Medicare Advantage changes plans now operate under
- Where enforcement attention lands first, and how to sequence the rest of the year
Who should attend: health plan executives, compliance leaders, Medicaid and Medicare Advantage product heads, and interoperability owners.
Additional Prior Authorization Resources
Webinar: Prior Authorization at a Crossroads: Meeting CMS-0057 While Reducing Operational Burden
Webinar: Guide to Implementing the CMS Interoperability and Prior Authorization Rule
Webinar: The Complexities of Managing D-SNP
Solutions: Electronic prior authorization