A free, always-current calendar of every CMS-0057-F obligation — which requirements apply to which payer type, by what date, under which date semantics — each row traced to the Federal Register.
Final dates and proposed dates are shown distinctly. Managed-care obligations key to the rating period on or after the date — that distinction is in every row. Filter to your entity type to see only what applies to you.
| Patient Access API — expanded data content (all USCDI data classes and elements per 45 CFR 170.213) | CHIP fee-for-service | 89 FR 8758 |
| Patient Access API — expanded data content (all USCDI data classes and elements per 45 CFR 170.213) | CHIP managed care | 89 FR 8758 |
| Patient Access API — expanded data content (all USCDI data classes and elements per 45 CFR 170.213) | Medicaid fee-for-service | 89 FR 8758 |
| Patient Access API — expanded data content (all USCDI data classes and elements per 45 CFR 170.213) | Medicaid managed care | 89 FR 8758 |
| Patient Access API — expanded data content (all USCDI data classes and elements per 45 CFR 170.213) | Medicare Advantage (MA) | 89 FR 8758 |
| Patient Access API — expanded data content (all USCDI data classes and elements per 45 CFR 170.213) | QHP issuers on the FFEs | 89 FR 8758 |
| — | All impacted payers | 89 FR 8758 |
| — | All impacted payers | 90 FR 36536 |
| Annual public reporting of prior authorization metrics on payer website | CHIP fee-for-service | 89 FR 8758 |
| Annual public reporting of prior authorization metrics on payer website | CHIP managed care | 89 FR 8758 |
| Annual public reporting of prior authorization metrics on payer website | Medicaid fee-for-service | 89 FR 8758 |
| Annual public reporting of prior authorization metrics on payer website | Medicaid managed care | 89 FR 8758 |
| Annual public reporting of prior authorization metrics on payer website | Medicare Advantage (MA) | 89 FR 8758 |
| Annual public reporting of prior authorization metrics on payer website | QHP issuers on the FFEs | 89 FR 8758 |
| Prior authorization decision timeframes (72 hours expedited / 7 calendar days standard) | CHIP fee-for-service | 89 FR 8758 |
| Prior authorization decision timeframes (72 hours expedited / 7 calendar days standard) | CHIP managed care | 89 FR 8758 |
| Prior authorization decision timeframes (72 hours expedited / 7 calendar days standard) | Medicaid fee-for-service | 89 FR 8758 |
| Prior authorization decision timeframes (72 hours expedited / 7 calendar days standard) | Medicaid managed care | 89 FR 8758 |
| Prior authorization decision timeframes (72 hours expedited / 7 calendar days standard) | Medicare Advantage (MA) | 89 FR 8758 |
| Specific reason for prior authorization denial (any communication channel) | CHIP fee-for-service | 89 FR 8758 |
| Specific reason for prior authorization denial (any communication channel) | CHIP managed care | 89 FR 8758 |
| Specific reason for prior authorization denial (any communication channel) | Medicaid fee-for-service | 89 FR 8758 |
| Specific reason for prior authorization denial (any communication channel) | Medicaid managed care | 89 FR 8758 |
| Specific reason for prior authorization denial (any communication channel) | Medicare Advantage (MA) | 89 FR 8758 |
| Specific reason for prior authorization denial (any communication channel) | QHP issuers on the FFEs | 89 FR 8758 |
| — | All impacted payers | 89 FR 8758 |
| Annual public reporting of prior authorization metrics on payer website | All impacted payers | 89 FR 8758 |
| Annual public reporting of prior authorization metrics on payer website | CHIP fee-for-service | 89 FR 8758 |
| Annual public reporting of prior authorization metrics on payer website | CHIP managed care | 89 FR 8758 |
| Annual public reporting of prior authorization metrics on payer website | Medicaid fee-for-service | 89 FR 8758 |
| Annual public reporting of prior authorization metrics on payer website | Medicaid managed care | 89 FR 8758 |
| Annual public reporting of prior authorization metrics on payer website | Medicare Advantage (MA) | 89 FR 8758 |
| Annual public reporting of prior authorization metrics on payer website | QHP issuers on the FFEs | 89 FR 8758 |
| Patient Access API usage metrics — annual report to CMS | All impacted payers | 89 FR 8758 |
| Patient Access API usage metrics — annual report to CMS | CHIP fee-for-service | 89 FR 8758 |
| Patient Access API usage metrics — annual report to CMS | CHIP managed care | 89 FR 8758 |
| Patient Access API usage metrics — annual report to CMS | Medicaid fee-for-service | 89 FR 8758 |
| Patient Access API usage metrics — annual report to CMS | Medicaid managed care | 89 FR 8758 |
| Patient Access API usage metrics — annual report to CMS | Medicare Advantage (MA) | 89 FR 8758 |
| Patient Access API usage metrics — annual report to CMS | QHP issuers on the FFEs | 89 FR 8758 |
| — | All impacted payers | 91 FR 14350 |
| — | All impacted payers Proposed | 91 FR 19890 |
| Electronic Prior Authorization measure (MIPS Promoting Interoperability performance category and Medicare Promoting Interoperability Program) | Hospitals & critical access hospitals | 89 FR 8758 |
| Electronic Prior Authorization measure (MIPS Promoting Interoperability performance category and Medicare Promoting Interoperability Program) | MIPS-eligible clinicians | 89 FR 8758 |
| Patient Access API — prior authorization information | CHIP fee-for-service | 89 FR 8758 |
| Patient Access API — prior authorization information | CHIP managed care | 89 FR 8758 |
| Patient Access API — prior authorization information | Medicaid fee-for-service | 89 FR 8758 |
| Patient Access API — prior authorization information | Medicaid managed care | 89 FR 8758 |
| Patient Access API — prior authorization information | Medicare Advantage (MA) | 89 FR 8758 |
| Patient Access API — prior authorization information | QHP issuers on the FFEs | 89 FR 8758 |
| Payer-to-Payer API | CHIP fee-for-service | 89 FR 8758 |
| Payer-to-Payer API | CHIP managed care | 89 FR 8758 |
| Payer-to-Payer API | Medicaid fee-for-service | 89 FR 8758 |
| Payer-to-Payer API | Medicaid managed care | 89 FR 8758 |
| Payer-to-Payer API | Medicare Advantage (MA) | 89 FR 8758 |
| Payer-to-Payer API | QHP issuers on the FFEs | 89 FR 8758 |
| Prior Authorization API (CRD+DTR+PAS capability) | CHIP fee-for-service | 89 FR 8758 |
| Prior Authorization API (CRD+DTR+PAS capability) | CHIP managed care | 89 FR 8758 |
| Prior Authorization API (CRD+DTR+PAS capability) | Medicaid fee-for-service | 89 FR 8758 |
| Prior Authorization API (CRD+DTR+PAS capability) | Medicaid managed care | 89 FR 8758 |
| Prior Authorization API (CRD+DTR+PAS capability) | Medicare Advantage (MA) | 89 FR 8758 |
| Prior Authorization API (CRD+DTR+PAS capability) | QHP issuers on the FFEs | 89 FR 8758 |
| Provider Access API | CHIP fee-for-service | 89 FR 8758 |
| Provider Access API | CHIP managed care | 89 FR 8758 |
| Provider Access API | Medicaid fee-for-service | 89 FR 8758 |
| Provider Access API | Medicaid managed care | 89 FR 8758 |
| Provider Access API | Medicare Advantage (MA) | 89 FR 8758 |
| Provider Access API | QHP issuers on the FFEs | 89 FR 8758 |
| Annual public reporting of prior authorization metrics on payer website | All impacted payers | 89 FR 8758 |
| Patient Access API usage metrics — annual report to CMS | All impacted payers | 89 FR 8758 |
| Include a specific reason for denial in prior authorization responses for all drugs | Medicaid fee-for-service Proposed | 91 FR 19890 |
| Include a specific reason for denial in prior authorization responses for all drugs | Medicaid managed care Proposed | 91 FR 19890 |
| Include a specific reason for denial in prior authorization responses for all drugs | QHP issuers on the FFEs Proposed | 91 FR 19890 |
| Incorporate drugs covered under a medical benefit into the Prior Authorization API | CHIP fee-for-service Proposed | 91 FR 19890 |
| Incorporate drugs covered under a medical benefit into the Prior Authorization API | CHIP managed care Proposed | 91 FR 19890 |
| Incorporate drugs covered under a medical benefit into the Prior Authorization API | Medicaid fee-for-service Proposed | 91 FR 19890 |
| Incorporate drugs covered under a medical benefit into the Prior Authorization API | Medicaid managed care Proposed | 91 FR 19890 |
| Incorporate drugs covered under a medical benefit into the Prior Authorization API | Medicare Advantage (MA) Proposed | 91 FR 19890 |
| Incorporate drugs covered under a medical benefit into the Prior Authorization API | QHP issuers on the FFEs Proposed | 91 FR 19890 |
| Prior authorization decision timeframes for drugs | CHIP fee-for-service Proposed | 91 FR 19890 |
| Prior authorization decision timeframes for drugs | CHIP managed care Proposed | 91 FR 19890 |
| Prior authorization decision timeframes for drugs | Medicaid fee-for-service Proposed | 91 FR 19890 |
| Prior authorization decision timeframes for drugs | Medicaid managed care Proposed | 91 FR 19890 |
| Prior authorization decision timeframes for drugs | QHP issuers on the FFEs Proposed | 91 FR 19890 |
| Publicly report prior authorization metrics for drugs | Medicaid managed care Proposed | 91 FR 19890 |
| Publicly report prior authorization metrics for drugs | Medicare Advantage (MA) Proposed | 91 FR 19890 |
| Publicly report prior authorization metrics for drugs | QHP issuers on the FFEs Proposed | 91 FR 19890 |
| Report usage metrics for the Provider Access, Payer-to-Payer, and Prior Authorization APIs to CMS | Medicare Advantage (MA) Proposed | 91 FR 19890 |
| Report usage metrics for the Provider Access, Payer-to-Payer, and Prior Authorization APIs to CMS | QHP issuers on the FFEs Proposed | 91 FR 19890 |
| Support the NCPDP SCRIPT standard for electronic prior authorization of pharmacy-benefit drugs | Medicaid fee-for-service Proposed | 91 FR 19890 |
| Support the NCPDP SCRIPT standard for electronic prior authorization of pharmacy-benefit drugs | Medicaid managed care Proposed | 91 FR 19890 |
| Support the NCPDP SCRIPT standard for electronic prior authorization of pharmacy-benefit drugs | QHP issuers on the FFEs Proposed | 91 FR 19890 |
| Apply interoperability and prior authorization API requirements to small-group QHP issuers on the FF-SHOPs | QHP issuers on the FF-SHOPs Proposed | 91 FR 19890 |
| — | All impacted payers | 89 FR 8758 |
| Adopt HL7 C-CDA and HL7 Attachments IGs for claims-attachment content | HIPAA-covered entities | 91 FR 14350 |
| Adopt HL7 electronic/digital signature standard for attachments | HIPAA-covered entities | 91 FR 14350 |
| Adopt X12N 275 (006020X314) and X12N 277 (006020X313) as claims-attachment transaction standards | HIPAA-covered entities | 91 FR 14350 |
Jump to a page built for your organization type — each lists only the CMS-0057-F obligations and dates that apply to you, traced to the Federal Register.
See only the obligations that apply to your organization, with their compliance dates and any extension or exemption paths named in the rule.
The deadlines above are public. What isn’t: which payers have already posted their prior-authorization metrics, and what they reported. Dataplex tracks that layer — human-reviewed and traced to each payer’s own published source.
Every key CMS-0057-F compliance date on a single printable page — what’s due, who it hits, traced to the Federal Register. We’ll email you the PDF and a note from our team.