Automate prior authorization to improve care access and meet CMS 2026 requirements
Overview
By January 2026, all state Medicaid programs must digitize prior authorization to comply with Centers for Medicare & Medicaid Services (CMS)-0057. That deadline is approaching fast—states have months, not years, to modernize.
Public and private sector organizations already trust Infor Cloverleaf™ for standards-based healthcare integration. Built on HL7® FHIR® and Da Vinci standards, Infor Cloverleaf enables seamless connectivity between payers, providers, and electronic health records (EHRs), streamlining and automating prior authorization workflows without costly system overhauls.
By automating prior authorization with Infor Cloverleaf, Medicaid programs get:
- Real-time data exchange between legacy and modern systems
- End-to-end automation from request to decision
- CMS-ready infrastructure to support long-term digital transformation
Be compliance-ready with a partner who understands Medicaid’s unique challenges. Get the executive brief to see how Infor Cloverleaf enables faster approvals, fewer delays, and better service for your constituents.