MACPAC conducted a literature review, a federal policy review, and stakeholder interviews on the role of automation in the Medicaid prior authorization (PA) process. Staff previously presented on the findings and challenges surfaced in this research, including the availability of information and documentation about the implementation and use of automation and the current state and federal policy landscape specific to automation in PA. In this session, we presented draft policy recommendation language for commissioner consideration.
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Medicaid and CHIP Payment and Access Commission