Testimony by the Medical Group Management Association
To:
The National Committee on Vital and Health Statistics
Subcommittee on Standards
Submitted July 24, 2020
The Medical Group Management Association (MGMA) is pleased to submit the following testimony to the National Committee on Vital and Health Statistics on the issue of prior authorization. We commend the Committee for recognizing the need to improve prior authorization and for reviewing the Council for Affordable Quality Healthcare (CAQH), Committee on Operating Rules for Information Exchange (CORE) proposal to adopt the Prior Authorization (278) Data Content Rule, Prior Authorization (278) Infrastructure Rule, and Connectivity Rule Version PA 2.0 under the Health Insurance Portability and Accountability Act (HIPAA) of 1996.