- The Current State of Electronic Prior Authorization in the US (ajmc.com)National adoption Scorecard Electronic Prior Authorization (ePA) (epascorecard.covermymeds.com)
A majority of pharmacies have publicly announced that they are committed to implementing an electronic prior authorization solution that sends prior authorization requests electronically to the prescriber…70% of EHR systems…are committed to ePA. Eighty-seven percent of payers…are committed to ePA…CVS/pharmacy is the last major chain not yet committed to an ePA…many independent pharmacies have access to ePA functionality through pharmacy systems, most of which have live, integrated ePA capabilities…Prior authorization legislation has been considered, and in some states is in effect…Currently, 23 states have passed legislation pertaining to PA, and 4 additional states have pending legislation. The legislation seeks to make the PA submission process faster and easier for providers to prevent the delay of patient treatment…there is no federal direction on PA, so each state is on its own with respect to creating and enacting PA legislation...