The ONC health IT certification rule that codifies the technical criteria (Coverage Requirements Discovery, Documentation Templates and Rules, Submission and Status Tracking) that certified health IT systems must support for electronic prior authorization.
What it means
HTI-4 essentially confirms, at the certification level, the workflow that CMS-0057-F requires operationally. Its three criteria map directly onto a well-built prior auth automation flow: discovering whether something needs authorization, matching documentation to requirements, and tracking submission through to a decision. Products built around this shape from the start don't need to re-architect to meet it.
