Medicaid Long-Term Services & Supports: Access & Quality Problems In Managed Care Demand Improved Oversight

On December 15, 2020, the U.S. Government Accountability Office (GAO) published this report concluding that Medicaid long-term services and supports (LTSS) access and quality problems in managed care demand improved oversight. Six selected states identified significant problems in their MLTSS programs with managed care organization (MCO) performance of care management, which includes assessing beneficiary needs, authorizing services, and monitoring service provision to ensure quality and access to care. State efforts may not be identifying all care management problems due to limitations in the information they use to monitor MCOs, allowing some performance problems to continue over multiple years . . .