Delayed: Prior Authorization Demonstration for Certain ASC Services

On January 19, 2026, CMS will start a prior authorization demonstration for certain ambulatory surgical center (ASC) services provided in ten states. California (CA) is currently the only state within JE included in this demonstration. Beginning January 5, 2026, prior authorizations may be submitted for procedures performed on or after January 19, 2026.

Refer to Noridian’s ASC Prior Authorization website for additional information.

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