🛡️ CMS-0057-F · Deadline January 1, 2027

Is your practice ready for the new payer API deadline?

In three months, Medicare Advantage, Medicaid, CHIP, and Exchange payers are required to support electronic prior authorization. OmniMD will map your top payers against that deadline and hand you a written plan, free, before it hits your front desk.

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Example Payer Mapping Sample, not your results
Aetna (Medicare Advantage) Action Needed
UnitedHealthcare On Track
State Medicaid Plan Needs Review
20+ Years
in healthcare IT
12,000+
providers supported
412
practices surveyed for this review

Why Now

Most practices can’t answer this yet

OmniMD surveyed 412 clinicians and practice leaders in 2026. The deadline is three months away, and the gap is real.

46%
knew the January 1, 2027 API deadline existed
78%
still handle prior auth by fax, phone, or portal
41%
don’t know if their current system will support it

Built For You

Whoever feels this deadline first, we wrote this for you

Practice Administrators

You’re the one who has to tell staff why the fax machine isn’t going away yet, or why it suddenly can. This review tells you which payers move first, so you can plan training and staffing around real dates instead of guesses.

Billing & RCM Teams

You already know which payers slow authorizations down the most. We confirm which of those are legally required to move to electronic APIs by January 2027, so you know exactly where automation pays off first.

Clinicians & Physicians

Prior authorization delays show up as canceled procedures and frustrated patients. This review flags which payers are most likely to change how fast you get an answer, so your care team isn’t caught off guard.

What You Get

Three things, delivered before the deadline

Payer Mapping

We rank your top payers by prior authorization volume and flag which ones fall under the January 2027 rule: Medicare Advantage, Medicaid managed care, CHIP, and Exchange plans.

Workflow Review

We look at how your practice submits and follows up on prior authorization today, fax, phone, portal, or already electronic, and where staff time is actually going.

Readiness Plan

A written plan showing what to prepare, and in what order, before payer APIs go live. Specific to your practice, not a generic checklist.

How It Works

Simple, on purpose

1

Tell us about your practice

A 2-minute form. Specialty, size, and your top payers.

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2

Talk it through with our team

A 30-minute call to walk through your payer list and workflow.

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3

Get your written plan

Delivered within a week. Yours to keep, no strings attached.

    Request a Demo

    Questions

    Frequently asked questions

    Is this really free?

    Yes. The readiness review is complimentary and does not require you to switch EHR, billing, or practice management vendors.

    Do I need to already be an OmniMD customer?

    No. The review is open to any U.S. outpatient practice preparing for the January 2027 CMS-0057-F deadline, regardless of your current EHR.

    What happens after I submit the form?

    Someone from our team reaches out within two business days to schedule a short call, review your top payers and current workflow, and confirm what you’ll get in your written plan.

    How long does the review take?

    Most practices finish the initial call in under 30 minutes. Your written plan typically follows within a week.

    Three months to January 1, 2027

    Get a clear, practice-specific plan instead of guessing at what your EHR vendor will or won’t support. Backed by 20+ years of healthcare-only experience.

    Get My Free Readiness Review