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Office of the National Coordinator for Health Information Technology (ONC) Issues Newsletter
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2026 Standards Version Advancement Process (SVAP) |
| ONC will continue to accept and consider comments for the 2026 SVAP cycle until June 15, 2026, at 11:59 PM ET. Please note that a user account is required to submit comments. Create a user account by clicking the Log In button located at the top right of the SVAP Standards page. |
ONC “Rider” Proposes New Standards for Prior Authorization, Burden Reduction |
On April 10, the Centers for Medicare and Medicaid Services (CMS) published the Interoperability and Prior Authorization for Drugs Proposed Rule, to streamline the exchange of clinical and administrative data. Specifically, a series of ONC proposals are included as a rider in the CMS proposed rule and would adopt a suite of new standards related to electronic prior authorization, payer-to-payer data exchange, and other burden reduction specifications developed by the HL7 FHIR® Da Vinci Project. ONC proposes to adopt the newest versions of several HL7 FHIR® implementation specifications, including:
In parallel with these proposals, ONC and CMS have announced a collaborative testing roadmap for these versions of Da Vinci specifications, leveraging the Inferno Test Tool. Test kits for CRD version 2.2.1 are under development now, and we intend to make these test kits available for both payer-side and provider/EHR-side testing by early summer. |
Advancing Nationwide Electronic Prior Authorization Through a Collaborative Testing Roadmap |
ONC and CMS are advancing a collaborative approach to electronic prior authorization (ePA) testing in 2026, with the goal of supporting broad implementation, improving readiness across the ecosystem, and helping reduce burden for providers, payers, and patients. At the center of this work is a testing strategy focused on preparing stakeholders for nationwide ePA deployment. ONC and CMS have identified two primary areas of focus for ePA collaborative testing:
Early activities in 2026 are designed to help participants begin engaging with the broader implementation community. Planned activities include:
During the early summer 2026, the roadmap calls for expanded testing support and updated tooling.
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ONC Health IT Certification Program Resources |
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