Prior authorization is making the problem visible
Follow the coverage and implementation updates as SHN puts shared healthcare infrastructure to work, starting with prior authorization.
Follow the Road to January → · Start testing → · Bring your market together →
In the news
Public case co-authored by Delaware Surgeon General Neil Hockstein, ChristianaCare CEO Janice Nevin and Paul Meyer.
Implementation updates, events and recaps
The Rules (with the Open Access and Fee Structure, the initial seventeen-type Transaction Catalog, the Base Service Level Agreement and the Prior Authorization Specification), the Participation Agreement with incorporated BAA and Government Program Addendum, and orientation memos for counsel, health plans, health systems and states — available for participant review on request.
What has connected and been tested, what can be reused, and the remaining January blockers. Rhyme will share how it is integrating with the Network, and Microsoft will share how it is supporting one of the Gateway deployment options.
A practical guide to bringing your market together, joining shared testing and reducing repeated implementation work. This link opens the current guide.
Start with one workflow, keep the systems you use and choose how to connect. This link opens the current guide.
How Delaware brought plans, providers and technology partners together for the July launch event and synthetic-data Connectathon.
References to CMS, HHS, RHTP, or CMS-0057 describe federal programs and requirements. Smart Health Network is not endorsed by CMS or HHS. State participation and funding decisions remain with each state.
Media inquiries, logo pack, leadership headshots, and boilerplate: visit the press kit or contact press@smarthealthnetwork.org.