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    April 10, 2020

    Administrator Seema Verma
    Centers for Medicare and Medicaid Services
    U.S. Department of Health and Human Services
    7500 Security Blvd.
    Baltimore, MD 21244-1850

    RE: Prior Authorization and Step Therapy Processes

    Dear Administrator Verma,

    On behalf of the millions of Americans living with chronic, disabling, and life-threatening medical conditions, the undersigned patient and provider organizations have joined together to express our concern regarding the ongoing burdensome prior authorization (PA) requirements administered by Medicare Advantage and Part D Plans. During this time of a pandemic, physicians have less resources and time at their disposable to manage multiple PAs. With so much uncertainty patients should not be worried about whether or not they can access a necessary treatment or service. Therefore, we call on the Centers for Medicare and Medicaid Services (CMS) to encourage Medicare Advantage and Part D plans to relax PA and step therapy standards for medically necessary prescribed or ordered treatments and services during national pandemics.

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