Why This Course is Important
Without this course, you risk falling behind on federal compliance, missing critical interoperability deadlines, and facing potential penalties for non-conformance with the latest CMS mandates.
Course Details
This is a self-paced eLearning course based on the Federal Register Document titled 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.
Key regulatory references include:
- 42 CFR Part 403 – Special Programs and Projects
- 42 CFR Part 422 – Medicare Advantage Program
- 42 CFR Part 431 – State Organization and General Administration
- 42 CFR Part 438 – Managed Care
- 42 CFR Part 440 – Services: General Provisions
Course SKU
FR-26-1862-1