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CMS prior authorization rule infographic showing 7 calendar days for standard requests, 72 hours for expedited requests, and specific denial reasons required.
July 8, 2026

CMS Prior Authorization Rule: Deadlines and Next Steps

Blog post description.CMS-0057-F prior authorization requirements took effect January 1, 2026, requiring many payers to issue decisions within 7 calendar days, 72 hours for urgent requests, and provide specific denial reasons. Learn how practices can use the rule to improve prior authorization workflows.

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