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March 2018 Public Meeting

MACPAC’S March 2018 meeting began with a review of two draft chapters with recommendations that will be included in MACPAC’s June 2018 report, the first to improve operation of the Medicaid drug rebate program and the second to improve the clarity of substance use disorder (SUD) confidentiality regulations.

At the opening session the Commission reviewed a draft chapter on Medicaid drug policy and later voted to approve two recommendations presented at its December 2017 meeting to (1) close a loophole in current law that allows drug manufacturers to reduce rebates on certain brand drugs, and (2) give the Department of Health and Human Services new authority to take action on inappropriately classified drugs.

At the second morning session, the Commission reviewed a draft chapter on federal regulations governing confidentiality of SUD patient records that affect integration of behavioral and physical health services for Medicaid beneficiaries, later approving two recommendations to address the inconsistent application of these regulations. The morning wrapped up with a review of potential comments from the Commission on the U.S. Department of Health and Human Services’ report to Congress and the President on the Money Follows the Person program.

Thursday afternoon began with an overview of a report commissioned by MACPAC to better understand how managed long-term services and supports programs meet the needs of people with intellectual and developmental disabilities. The session that followed assessed the roles of base and supplemental payments to hospitals under Medicaid. The last informational session of the day looked at gaps in the SUD continuum of care, whether these gaps are more pronounced in residential settings, and if so, whether and how Medicaid’s payment exclusion for institutions for mental diseases should be changed.

Because the federal government closed on March 2 due to inclement weather, the expert panel that had been scheduled to present state approaches to financing social interventions through Medicaid was rescheduled for a later date.


  1. Draft Chapter: Improving Operations of the Medicaid Drug Rebate Program
  2. Draft Chapter: Substance Use Disorder Confidentiality Regulations and Care Integration in Medicaid
  3. Money Follows the Person: Review of Draft Comment Letter
  4. Tailoring MLTSS Programs for Individuals with Intellectual and Developmental Disabilities
  5. Assessing the Role of Base and Supplemental Payments to Hospitals
  6. Substance Use Disorder Continuum of Care and the IMD Exclusion