{"id":212855,"date":"2026-05-12T16:19:00","date_gmt":"2026-05-12T20:19:00","guid":{"rendered":"https:\/\/testing.news-you-need.com\/index.php\/2026\/05\/12\/macpac-calls-for-increased-transparency-on-ai-supported-prior-authorization\/"},"modified":"2026-05-12T16:40:09","modified_gmt":"2026-05-12T20:40:09","slug":"macpac-calls-for-increased-transparency-on-ai-supported-prior-authorization","status":"publish","type":"post","link":"https:\/\/testing.news-you-need.com\/index.php\/2026\/05\/12\/macpac-calls-for-increased-transparency-on-ai-supported-prior-authorization\/","title":{"rendered":"MACPAC calls for increased transparency on AI-supported prior authorization"},"content":{"rendered":"<p><a href=\"https:\/\/www.aha.org\/news\/headline\/2026-05-12-macpac-calls-increased-transparency-ai-supported-prior-authorization\">MACPAC calls for increased transparency on AI-supported prior authorization<\/a><\/p>\n<p><a href=\"https:\/\/www.aha.org\/news\/headline\/2026-05-12-macpac-calls-increased-transparency-ai-supported-prior-authorization\">https:\/\/www.aha.org\/news\/headline\/2026-05-12-macpac-calls-increased-transparency-ai-supported-prior-authorization<\/a><\/p>\n<p>Publish Date: <a href=\"publish_date]\">2026-05-12 16:19:00<\/a><\/p>\n<p>Source Domain: <a href=\"www.aha.org\">www.aha.org<\/a><\/p>\n<ul>\n<li>The Medicaid and CHIP Payment and Access Commission approved recommendations to enhance oversight and transparency regarding artificial intelligence usage for prior authorization.<\/li>\n<li>The commission advised the Centers for Medicare &amp; Medicaid Services (CMS) to clarify federal requirements to ensure that medical necessity determinations for adverse decisions, like denials, involve an expert rather than automation alone.<\/li>\n<li>CMS was recommended to amend fee-for-service regulations to align with these oversight requirements.<\/li>\n<li>The commission emphasized the need for CMS to provide guidance on managing AI\u2019s usage in managed care oversight.<\/li>\n<li>States are being urged to mandate that Medicaid health plans disclose their AI usage, including for testing, evaluation, and oversight.<\/li>\n<\/ul>\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>MACPAC calls for increased transparency on AI-supported prior authorization https:\/\/www.aha.org\/news\/headline\/2026-05-12-macpac-calls-increased-transparency-ai-supported-prior-authorization Publish Date: 2026-05-12 16:19:00 Source&#8230;<\/p>\n","protected":false},"author":1,"featured_media":212856,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"fifu_image_url":"https:\/\/www.aha.org\/sites\/default\/files\/2019-03\/macpac-update.jpg","fifu_image_alt":"","footnotes":""},"categories":[14],"tags":[20],"class_list":["post-212855","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artificial-intelligence","tag-artificial-intelligence"],"_links":{"self":[{"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/posts\/212855"}],"collection":[{"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/comments?post=212855"}],"version-history":[{"count":1,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/posts\/212855\/revisions"}],"predecessor-version":[{"id":212857,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/posts\/212855\/revisions\/212857"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/media\/212856"}],"wp:attachment":[{"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/media?parent=212855"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/categories?post=212855"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/tags?post=212855"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}