High Rates Of Prior Authorization Denials By Some Plans & Limited State Oversight Raise Concerns About Access To Care In Medicaid Managed Care

On July 19, 2023, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) published this report which found that high rates of prior authorization denials by some plans and limited state oversight raise concerns about access to care in Medicaid Managed Care. OIG received a congressional request to evaluate whether MCOs are providing medically necessary health care services to their enrollees . . .