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April 2017 Public Meeting

MACPAC’s April 2017 meeting opened with a discussion of MACPAC’s projections—published in March 2017—on when states are expected to exhaust their federal CHIP funding under current law. The session was followed by reviews of two chapters slated for the upcoming June 2017 Report to Congress on Medicaid and CHIP, on program integrity in Medicaid managed care and Medicaid’s role in the opioid epidemic. Following a break for lunch, the Commission received a briefing on beneficiaries who are dually eligible for Medicaid and Medicare but who are not enrolled in the Medicare Savings Programs.

Later, the Commission turned its attention to implications of the Medicaid reform legislation introduced prior to the April congressional recess, including how per capita caps and block grants will be calculated and implemented. That session was followed by a report on initial findings from evaluations of Section 1115 demonstration waivers that states have used to expand Medicaid coverage to low-income adults. The Thursday sessions wrapped up with a discussion on Medicaid’s relationship to other health and social service programs and how they might be affected by changes to Medicaid financing.

On Friday, the Commission reviewed its third and final June 2017 report chapter, a detailed analysis of Medicaid’s mandatory and optional populations and benefits as requested by chairs of MACPAC’s congressional committees of jurisdiction. The second session of the morning looked at network adequacy standards for home- and community-based services provided under managed care arrangements, based on reviews of managed care contracts, and interviews with state officials and organizations representing health plans, providers, and beneficiaries. In the final session of the April 2017 meeting, staff updated Commissioners on work in progress on value-based payment and delivery system reform.


  1. Federal CHIP Funding Update: When Will States Exhaust Their Allotments?
  2. Review of June Report Chapter: Program Integrity in Medicaid Managed Care
  3. Review of June Report Chapter: Medicaid and the Opioid Epidemic
  4. Medicare Savings Programs: Eligible But Not Enrolled
  5. Medicaid Reform: Implications of Proposed Legislation
  6. Preliminary Findings from Evaluations of Medicaid Expansions under Section 1115 Waivers
  7. Potential Effects of Medicaid Financing Reforms on Other Health and Social Programs
  8. Review of June Report Chapter: Analysis of Mandatory and Optional Populations and Benefits
  9. Managed Long-Term Services and Supports: Network Adequacy for Home and Community-Based Services
  10. Update on MACPAC Work on Value-Based Payment and Delivery System Reform