CMS now requires certain health plans to prove their provider networks offer real appointment availability, with 90% of providers meeting defined access standards by June 1, 2025. The goal is to ensure consumers can secure timely medical care rather than rely on networks that look adequate only on paper. These rules emphasize verifying that listed providers are accessible, responsive, and capable of delivering care within acceptable wait times. The new standards aim to strengthen network accuracy, improve patient experience, and ensure healthcare plans maintain truly functional provider access.

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