5 Sep 2025
🏥URAC's Deeming Authority Renewed for Medicare Advantage Programs
Medicare Program; Approved Renewal of Deeming Authority of the Utilization Review Accreditation Commission (URAC) for Medicare Advantage Health Maintenance Organizations and Local Preferred Provider Organizations
Summary
This final notice announces the Centers for Medicare & Medicaid Services decision to renew the Utilization Review Accreditation Commission's application for Medicare Advantage "deeming authority" of Health Maintenance Organizations and Preferred Provider Organizations for a term of 6 years.
Agencies
- Health and Human Services Department
- Centers for Medicare & Medicaid Services
Business Impact
$$$ - High
This document outlines the renewal of URAC's deeming authority for Medicare Advantage organizations, impacting compliance requirements for businesses in the healthcare industry. Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs) must adhere to CMS standards, affecting accreditation processes and potentially influencing financial operations related to Medicare offered services.