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Implementation of the Hospital Outpatient Department (HOPD) Prior Authorization (PA) Paired Items of Service for the X12 278 PA Transactions
The purpose of this CR is to support the exchange of HOPD PA requests in the X12 278 transaction format.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: June 11, 2021
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.