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GAO: Managed Medicaid Programs for LTC Services Need National Oversight
Skilled Nursing News December 21, 2020
The U.S. Government Accountability Office (GAO) has found “significant problems” with the managed long-term supports and services (MLTSS) covered by Medicaid and implemented through contracts with managed care organizations. The GAO made the discovery in a recent review of six states.
In the report, which was released publicly on December 16, the GAO recommended a national oversight strategy for MLTSS programs – a recommendation that the Department of Health and Human Services (HHS) did not agree with. The Centers for Medicare & Medicaid Services (CMS), which would monitor such programs, is part of HHS.
“HHS commented that such a step was not necessary, because CMS has strategies to enhance oversight in LTSS and managed care more generally,” the report said....
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Topics: GAO, Govt Agencies, Insurance, Medicaid, Payer, Post-Acute Care, Provider, Survey / Study, Trends