Below is a list of proposed IT Projects that are currently in the PAL review and approval process with the California Department of Technology (CDT). For purposes of this list “PAL Stage” refers to the last document officially submitted to CDT.
Projects are removed from this list when they exit the PAL process because: 1) the Agency/state entity receives CDT’s approval to begin project implementation; 2) CDT approves a Project Delegation Request; 3) the Agency/state entity withdraws the project; or 4) the CDT denies the project approval.
The California Department of Health Care Services (DHCS) will implement the Application Programming Interfaces (APIs) and reporting capabilities mandated by the Centers for Medicare and Medicaid Services (CMS) Advancing Interoperability and Improving Prior Authorization Processes final rule (CMS-0057-F). The scope of this effort includes the following: • Design, develop, and implement three new Fast Healthcare Interoperability Resources (FHIR) APIs, including the Payer-to-Payer API, Provider Access API, and Prior Authorization API. • Update the existing Patient Access API with additional data elements and align to new standards and specifications in accordance with the CMS final rule. • Implement a new prior authorization service to centralize transactions and align with industry standards, specifications, policies, and procedures. • Enhance the enterprise data environment to consume new data points required for the APIs and public/reporting capabilities for the Patient Access API and Prior Authorizations.
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20240624.1 - Release-59