October 15, 2025
Frequently Asked Questions About CMS Reporting Requirements
1. What Are the New CMS Reporting Requirements? CMS is expanding oversight of utilization management (UM) programs to ensure health plans deliver timely, appropriate, and high-quality care. Plans must now submit detailed reports on how they implement UM policies, track denials, appeals and decisions, and monitor clinical and operational outcomes. 2. Why Is This Important […]
