There are 15 tracked CMS-0057-F obligations for QHP issuers on the FFEs, with compliance dates from April 8, 2024 through January 1, 2028 — each traced to the Federal Register.
Only the CMS-0057-F obligations that apply to QHP issuers on the FFEs, grouped by date. Managed-care obligations key to the rating period on or after the date. Every row traced to the Federal Register.
| 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 | QHP issuers on the FFEs | 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 | 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 | QHP issuers on the FFEs | 89 FR 8758 |
| — | All impacted payers | 91 FR 14350 |
| — | All impacted payers Proposed | 91 FR 19890 |
| Patient Access API — prior authorization information | QHP issuers on the FFEs | 89 FR 8758 |
| Payer-to-Payer API | QHP issuers on the FFEs | 89 FR 8758 |
| Prior Authorization API (CRD+DTR+PAS capability) | QHP issuers on the FFEs | 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 | QHP issuers on the FFEs 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 | QHP issuers on the FFEs 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 | QHP issuers on the FFEs 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 |
| — | All impacted payers | 89 FR 8758 |
The same deadline detail, scoped to a different organization type.
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.