Recorded webinar · April 28, 2026 · 12:00–1:00 PM ET
CMS-0057 Prior Authorization
Who builds what, who's liable, and how to be ready by January 2027
Recording available to registrants
Agenda
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12:00–12:05
The accountability gap
Who owns PA compliance when execution is delegated and what happens when a delegate is not FHIR-ready.
Mike KulakovProduct ManagerHealth Samurai -
12:05–12:20
Why Three IGs? What CRD, DTR, and PAS each solve?
The business logic behind the split. How the three IGs fit together as an end-to-end system. Where the spec is prescriptive vs. where implementers have room.
Lloyd McKenzieTechnical DirectorHL7 Da Vinci Project -
12:20–12:30
Payer Expectations Framework
A practical framework for aligning payer and delegate responsibilities in CMS-0057 prior authorization.
Mike KulakovProduct ManagerHealth Samurai -
12:30–12:40
Lessons From a Delegate in Active Implementation
Building CRD, DTR, and PAS now — ahead of payer demand. What's working, what isn't, and what they'd do differently.
Phil GoldenbergChief Information OfficerIntegrated Home Care Services (IHCS) -
12:40–12:50
Implementation Architecture: FHIR APIs and Operational Compliance
How to connect CRD/DTR/PAS to a legacy UM system with no native FHIR support. Out-of-the-box vs. custom build tradeoffs.
Rajeev RanjanVice President - Healthcare Technology SolutionsEmids
Rostislav AntonovSoftware EngineerHealth Samurai -
12:50–13:00
Q&A
All speakers, moderated.
From Compliance Obligation to Operational Reality
Payers are regulated under CMS-0057-F. But most prior authorization runs through delegated entities and UM vendors. When a delegate doesn't have compliant FHIR APIs — the payer is non-compliant. This is the accountability gap. And January 2027 is nine months away.
Responsible for delegate compliance and FHIR API readiness.
Building toward CMS-0057 prior authorization APIs.
Who need a clear decision framework before January 2027.
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* The FHIR® trademark is used with HL7 International's permission. This webinar is presented by Health Samurai and is not an HL7 International event.