AI Will Deny Washington [state] Medicaid Claims Next Year

Clankers: If you need another excuse to go Sarah Connor mode, starting January 1, Washington will be one of six states participating in a new federal AI-assisted Medicaid program called “Wasteful and Inappropriate Service Reduction.” Until now, our state’s Medicaid recipients didn’t need prior authorization (permission) for most services. But the magic of Artificial Intelligence will help determine whether or not they qualify for services like pain management, cervical fusion, arthroscopic knee surgery, and impotence treatment.