Managed Care Plans’ Prior Authorization Decisions for Children Need Additional Oversight (GAO-24-106532)
On April 24, 2024, the U.S. Government Accountability Office (GAO) published this evaluation that found that Medicaid Manage Care plan' prior authorization decisions for children need additional oversight. The report specifically focuses on Medicaid’s Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit entitles children to a comprehensive set of screening, diagnostic, and treatment services. GAO was primarily conderned about plans' decisions to deny services that were medically necessary . . .