To comply with the CMS Interoperability and Patient Access Final Rule, payers must submit regular compliance reports and adhere to security and privacy regulations. These requirements aim to improve transparency, enhance patient access to health information, and support effective care coordination.

• Annual Reporting: Payers are required to submit annual reports to CMS detailing their compliance with the data-sharing requirements. These reports include information on the implementation and usage of APIs, data access metrics, and any issues encountered.
• Audits and Assessments: CMS may conduct audits and assessments to ensure that payers are complying with the requirements of the rule. Payers must cooperate with these audits and provide necessary documentation and evidence of compliance.