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Preparing for 2027 Prior Auth Regulatory Requirements

· 2 min read
Reshma Khilnani
Medplum Core Team

Prior authorization is one of the biggest sources of administrative burden in healthcare, and it is now the subject of a regulatory deadline. CMS-0057-F and HTI-4 require payers and providers to support electronic prior authorization workflows built on FHIR, with enforcement beginning January 2027.

Medplum supports ePA transactions for payers AND providers and has earned the 2026 FHIRplace Participant emblem from Drummond Group for our engagement in electronic prior authorization (ePA) testing.