What Changes for Prior Authorization on January 1, 2027?

On January 1, 2027, Medicare Advantage, Medicaid and marketplace plans must run electronic prior authorization APIs. See what changes for small practices and what to do now.

On January 1, 2027, Medicare Advantage, Medicaid and marketplace plans must run electronic prior authorization APIs. See what changes for small practices and what to do now.

CPT 2027 brings 453 code changes on January 1. See which ABA, maternity, speech therapy and biofeedback codes change, and what small practices must remap now.