Comment on CMS-2026-1255-0001
Cooperative ExchangeSupportAdvocacy
Summary: The Cooperative Exchange, representing the national clearinghouse industry, submitted comments regarding the proposed rule on interoperability standards and prior authorization for drugs. They generally support the initiative but advocate for specific adjustments, such as maintaining the direct data exception, adopting FHIR only for prior authorization (not referrals), and using auditing instead of mandatory certification for payer APIs.
The Cooperative Exchange is submitting our comments in the attached document. Thank you for your consideration.