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The State of Electronic Prior Authorization: From Policy to Production

[fa icon="calendar'] Sep 22, 2026, 11:18:21 AM / by Leslie Amorós posted in FHIR, HL7, HL7 community, Da Vinci, FHIR Accelerator, FHIR Community, healthIT, Electronic Prior Authorization, ePA

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CMS, ONC & Industry Leaders Deliver Comprehensive ePA Update Sept. 30

Electronic prior authorization (ePA) has moved beyond concept and pilot testing. Payers, providers, and vendors are now actively in production or building toward production. That shift raises a natural question for the industry: where does the industry stand today, and what's the path from here?

Join the HL7 Da Vinci Project for the September Community Roundtable on Wednesday, September 30, 2026, from 4 – 5:30 p.m. ET. This session will provide a concise overview of the latest regulatory and policy developments, including updates on federal activities, followed by the current status of the Da Vinci Prior Authorization Implementation Guides, pilots and related resources that are helping organizations prepare for implementation.

Featured Presenters

  • Karen Ashton, MultiCare Connected Care
  • Michael Gould, ZeOmega and HL7 Da Vinci Project Architecture Group
  • David Koppel, Centers for Medicare & Medicaid Services (CMS)
  • Lloyd McKenzie, Dogwood Health Consulting and HL7 Da Vinci Project
  • Jeffery Smith, Office of the National Coordinator for Health Information Technology (ONC)
  • Denise St. Clair, Global Alliant Inc and HL7 Da Vinci Project PMO
  • Moderator: Casey Thompson, HL7 Da Vinci Project Program Coordinator; Consultant, Point-of-Care Partners

Participants will learn about industry readiness efforts, implementation support resources, and the growing ecosystem of tools available through Da Vinci. The session will explore the latest ePA capabilities, including current and emerging implementation guide versions, highlighting how organizations are advancing from planning to real-world deployment.

The program concludes with a panel discussion where panelists will share lessons learned, discuss known implementation challenges, explore how industry stakeholders are collaborating to achieve scalable success, and provide insight into the evolution of standards and future versions of the Da Vinci implementation guides.

Whether your organization is just beginning its ePA journey or already moving into production, this session will provide practical guidance, implementation perspectives, and a clear view of where electronic prior authorization is headed next.

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