Comment on CMS-2026-1255-0001
Altera Digital HealthSupportBusiness
Summary: Altera Digital Health, a health IT software company, supports the proposed rule to standardize interoperability and prior authorization for drugs. They advocate for consistent implementation guides, the adoption of the Prior Authorization API as the HIPAA standard, and the inclusion of specific denial reasons to improve provider workflows.
Altera Digital Health is pleased to provide comments in response to the proposed rule, Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability Standards and Prior Authorization for Drugs for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children’s Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, and Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges. With a platform of clinical, business and interoperability solutions for ambulatory, acute and other settings, we are relied upon by thousands of the nation’s providers serving patients in a variety of care environments, and it is through our more than three decades of experience partnering with and deploying software to this vast network of providers that we can submit informed feedback today on this important topic.