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October 2017 Public Meeting

The October 2017 Medicaid and CHIP Payment and Access Commission meeting opened with an update on the State Children’s Health Insurance Program (CHIP). No new federal funds are available after fiscal year 2017, which ended September 30. Staff briefed commissioners on Congressional action to renew CHIP funding as well as steps some states are taking in light of the lack of new federal funds.

In the second session of the morning, staff updated Commissioners on MACPAC’s ongoing work on opioid use disorders. The Commission then considered several options for streamlining Medicaid managed care authorities, and discussed the possibility of issuing recommendations in its March 2018 report. Closing out the morning, Karen Llanos, director of the Center for Medicare & Medicaid Services’ Innovation Accelerator Program, briefed Commissioners on that program’s efforts to help state Medicaid agencies improve beneficiaries’ health care and program efficiency.*

Thursday afternoon began with a panel discussion of Medicaid payment to federally qualified health centers, with panelists Nadereh Pourat, director of health policy research at the University of California, Los Angeles Fielding School of Public Health; Ralph Silber, chief executive officer of the Community Health Center Network in Oakland, California; and District of Columbia Medicaid director Claudia Schlosberg. That session was followed by a staff presentation on themes from a September roundtable on disproportionate share hospital payment. The last session on Thursday reviewed the CMMI’s formal request for comments on its future direction.

Friday’s sessions began with panelists Michelle Herman Soper, director of integrated care at the Center for Health Care Strategies; Curtis Cunningham, assistant administrator of long-term care benefits and programs at the Wisconsin Department of Health Services; and Sue Kvendru, senior managed care programs coordinator at the Minnesota Department of Human Services, discussing state experiences with managed long-term services and supports. The meeting concluded with a discussion of how multi-state collaboration might increase Medicaid program efficiency.

*No slide presentation was prepared for this session.


  1. Update on Status of CHIP Funding Renewal
  2. Medicaid and Opioid Use Disorder: Update on MACPAC Work and Federal Developments
  3. Streamlining Medicaid Managed Care Authority
  4. Considering Medicaid Payment to Federally Qualified Health Centers
  5. Themes from Expert Roundtable on DSH Payments and Next Steps for MACPAC Work
  6. Review of Center for Medicare and Medicaid Innovation Request for Information
  7. State Experiences with Managed Long-Term Services and Supports
  8. Multistate Collaboration to Increase Capacity