Upload your PA policy documents. We map them against CMS-0057-F and CMS-0062-P requirements and verified state rules — rules that our team monitors, checks, and updates continuously. You get a precise gap report: what's compliant, what isn't, and what to fix first.
Jan 1
2026 operational deadline
Jan 1
2027 API deadline
$15B
CMS projected 10-yr savings
10,402
Verified rules in database
What you receive
Upload your PA policy as PDF or CSV. We return a structured gap analysis showing exactly where you deviate from CMS-0057-F, CMS-0062-P, and current state requirements.
The deadline reality
CMS-0057-F and CMS-0062-P are not future requirements. Operational provisions went live January 1, 2026. If you haven't audited your PA policies against these requirements, you're already behind.
PASSED — Jan 1, 2026
Operational requirements live
7-day standard PA decisions. 72-hour expedited. Specific denial reasons required.
PASSED — Mar 31, 2026
First public metrics report due
Approval rates, denial rates, average turnaround times — posted publicly on your website.
UPCOMING — Jan 1, 2027
FHIR API compliance deadline
Patient Access, Provider Access, Payer-to-Payer, and Prior Authorization APIs must be live.
WHERE YOU SHOULD BE NOW
Gap analysis complete, remediation underway
Know what's compliant, what isn't, and have a plan to close the gaps before enforcement begins.
How we stay current
Every rule is monitored, verified, and updated by our team before it reaches you. We read the sources — CMS bulletins, state Medicaid agency notices, payer policy updates — so your team never has to call to confirm.
CMS.gov regulatory updates and final rules
State Medicaid agency bulletins — all 51 states
Medicare Advantage and Part D plan communications
WISeR pilot program data and model updates
Federal Register notices and proposed rules
Rule update
● LiveTX Medicaid MCO — GLP-1 step therapy
Step therapy requirement updated. Prior treatment failure documentation now required. Effective April 1, 2026.
Reviewed by Auth57 team · Source: HHSC Medicaid bulletin
Pending review
● VerifyingCA Medi-Cal — biosimilars PA exemption
Proposed exemption for FDA-approved biosimilars under review. Not yet in effect — team monitoring.
Auth57 team review in progress · Source: DHCS bulletin draft
Confirmed unchanged
● VerifiedNJ FamilyCare — oncology oral PA requirements
Quarterly verification complete. No changes to PA requirements for oral oncology agents.
Verified April 2026 · Source: NJDOH policy manual
Pricing
All states · All programs · Watch alerts · Cancel anytime
✓CMS-0057-F + CMS-0062-P gap analysis
✓All 51 states + DC
✓Human-reviewed gap reports
✓Watch alerts for your states
✓Source-linked findings
✓Remediation priority ranking
Enterprise plans available — talk to our team
⚠ Deadline: January 1, 2027 for API compliance
Upload your policy documents and get a gap report in 48 hours. Know exactly where you stand before the deadline finds you.