# CMS-9115-F Compliance Compliance solutions built for the mandate. Ready for what’s next. ## CMS Compliance is a Journey CMS-9115-F has been in effect since 2021, but the work isn’t done. Requirements keep evolving, and health plans need a healthcare interoperability vendor and partner who stays ahead — not one who checks the box and moves on. 1upHealth is that partner. #### More Implementations. Less Guesswork. Low Lift With 100+ CMS FHIR API implementations — more than any other vendor — 1upHealth takes on the complexity of CMS-9115-F compliance from day one, so your team doesn’t have to. ### Compliance That Members Can Feel Accurate provider directories, transparent formulary data, and seamless access to health data help your members feel informed, supported, and loyal. ### One Network. Every App. Fully Managed 1upHealth vets, onboards, and manages the entire third-party app ecosystem on your behalf — no one-off integrations, no internal overhead, no shortcuts on security. ### Regulations Change. Your APIs Won't Miss a Beat New regulations keep raising the bar. CMS-0057-F expanded Patient Access requirements. CMS-4208-F2 raises the bar for Provider Directory. 1upHealth works proactively to stay ahead of every update. 1upHealth can talk to me in my language about how it impacts healthcare — not just showing me a bunch of gizmos and PowerPoint charts. ## Capabilities ### Everything You Need to Meet CMS-9115-F & Beyond #### Meet the Mandate ### Full CMS-9115-F Coverage One platform covering Patient Access, Provider Directory, and Formulary API requirements. ### Built-In Compliance Visibility Pre-built dashboards and audit trails give leadership clear, defensible visibility into compliance activity across all APIs. ### Member Authentication A fully managed, customizable member auth experience simplifies data access and sharing for members. ### Member Data Controls Flexible data-sharing controls give members clear visibility into and control over what information is shared with third-parties. #### Go Further ### ONE CONNECTION. EVERY APP. One-to-Many App Network A single connection to a growing network of pre-vetted member-facing apps. ### SECURITY YOU CAN STAND BEHIND Enterprise-Grade Infrastructure HIPAA-compliant, HITRUST-r2-certified, and SOC 2 Type II audited infrastructure protects sensitive data at every point of exchange. ### Blog #### Is your Provider Directory Endpoint ready for Medicare Plan Finder? CMS-4208-F2 requires Medicare Advantage plans to submit provider directory data to Medicare Plan Finder by October 1, 2026. Learn what the new technical guidance means for your implementation and what good looks like before the deadline. [Read the blog](/content/blog/is-your-provider-directory-endpoint-ready-for-medicare-plan-finder-cms-4208-f2/index.html) ## 1upHealth CMS-9115-F Products ### 1up Patient Access Give members easy, secure access to their health information. ### 1up Provider Directory Publish accurate provider directories that make in-network care easy to find. ### 1up Formulary Deliver transparent drug coverage details to members and providers. ## Why 1upHealth Trusted by the Nation’s Top Health Plans Deep regulatory expertise, a proven track record, and a team that stays with you long after go-live. - CMS-9115-F APIs live since the mandate: 2021 - CMS FHIR API Implementations: 100+ - U.S.-Based FTEs: 100% - Support Availability: 24/7/365 ### Additional Resources #### Webinar Quality Measures - Connect Once, Improve Every HEDIS Quality Measure #### Webinar CMS-0057 - Compliance Without the Rebuild #### Blog - The Dangers of Playing with FHIR: Why Health Plans Should Stop Building and Start Buying Interoperability #### In The News AI & Data Activation - From Arms Race to Patient Benefit: AI and Interoperability in Prior Authorization [Explore all resources](/content/resources/index.html) ## Ready to Get Compliant? Join the nation’s leading health plans trusting 1upHealth to handle CMS-9115-F compliance. Leave the complexity to us. [Contact us](/content/contact/index.html)