{"abstract":"This notice announces a 6-year model focused on reducing fraud, waste (including low-value care), and abuse in Medicare fee-for- service (FFS) via the implementation of technology-enabled prior authorization processes for select services.","action":"Notice.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2025/07/01/2025-12195.html","cfr_references":[],"citation":"90 FR 28749","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"This notice is effective on January 1, 2026.","disposition_notes":null,"docket_ids":["CMS-5056-N"],"dockets":[{"supporting_documents":[],"agency_name":"CMS","documents":[{"comment_count":null,"comment_start_date":null,"updated_at":"2025-07-01T09:10:16.890-04:00","comment_url":"https://www.regulations.gov/commenton/CMS-2025-0241-0001","allow_late_comments":false,"id":"CMS-2025-0241-0001","comment_end_date":null,"regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"CMS-2025-0241","title":"Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model (CMS-5056-N)"}],"document_number":"2025-12195","effective_on":"2026-01-01","end_page":28753,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2025/07/01/2025-12195.xml","html_url":"https://www.federalregister.gov/documents/2025/07/01/2025-12195/medicare-program-implementation-of-prior-authorization-for-select-services-for-the-wasteful-and","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2025-12195?publication_date=2025-07-01","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2025-07-01/2025-12195/mods.xml","not_received_for_publication":null,"page_length":5,"page_views":{"count":19387,"last_updated":"2026-04-05 02:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-07-01/pdf/2025-12195.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-12195.pdf?1751055328","publication_date":"2025-07-01","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2025/07/01/2025-12195.txt","regulation_id_number_info":{},"regulation_id_numbers":[],"regulations_dot_gov_info":{"supporting_documents":[],"comments_count":0,"agency_id":"CMS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2025-0241","supporting_documents_count":0,"docket_id":"CMS-2025-0241","document_id":"CMS-2025-0241-0001","regulation_id_number":null,"title":"Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model (CMS-5056-N)","checked_regulationsdotgov_at":"2025-07-02T15:55:04Z"},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":28749,"subtype":null,"title":"Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model","toc_doc":"Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction Model","toc_subject":"Medicare Program","topics":[],"type":"Notice","volume":90}