Commission says addressing these issues is “of heightened importance at this time” The Medicaid and CHIP Payment and Access Commission (MACPAC) today released its June 2020 Report to Congress on Medicaid and CHIP, which this year addresses how to improve integration of care for dually eligible beneficiaries who have both Medicaid and Medicare coverage; increasing enrollment ... [Read More]

The Medicaid and CHIP Payment and Access Commission (MACPAC) requests proposals for a solicitation to award multiple Indefinite Delivery Indefinite Quantity (IDIQ) task order contracts. The request for proposals is available at this link on the beta.sam.gov website; a paper copy will not be issued. The North American Industry Classification System (NAICS) code for this procurement ... [Read More]

Commission looks at safety-net hospital payment, reporting on quality measures, and demonstration program evaluations The Medicaid and CHIP Payment and Access Commission (MACPAC) today released its March 2020 Report to Congress on Medicaid and CHIP, highlighting three issues of ongoing interest to Congress: payment to safety-net hospitals; the quality of behavioral health care and care provided ... [Read More]

Commission finds that nearly every state uses Medicaid funds to pay for IMD services, despite longstanding federal prohibition Washington, DC—Despite a decades-old statutory provision that largely prohibits federal Medicaid payments to institutions for mental diseases (IMDs), states can and do legitimately pay for mental health or substance use disorder (SUD) services in these facilities, according to ... [Read More]

New data show a cumulative decrease in Medicaid and CHIP enrollment of 2.6 percent over the past two years   The Medicaid and CHIP Payment and Access Commission (MACPAC) today released the 2019 edition of the MACStats: Medicaid and CHIP Data Book, with updated data on national and state Medicaid and State Children’s Health Insurance Program (CHIP) ... [Read More]

Report to Congress finds wide variation in utilization management policies to control costs and prevent diversion of addiction-treatment drugs The Medicaid and CHIP Payment and Access Commission (MACPAC) today released a report to Congress on Medicaid utilization management policies for medication-assisted treatment (MAT), finding that utilization management policies vary widely across the country and the extent ... [Read More]

Report to Congress also features analysis of Puerto Rico’s projected Medicaid funding shortfall, which could occur as early as March 2020 Washington, DC—The Medicaid and CHIP Payment and Access Commission (MACPAC) today called on Congress and the U.S. Department of Health and Human Services (HHS) to make changes to improve Medicaid policy affecting prescription drug and ... [Read More]

Section 5012 of the SUPPORT for Patients and Communities Act (P.L. 115-271) requires the Medicaid and CHIP Payment and Access Commission (MACPAC) to conduct a study on institutions for mental diseases (IMDs) receiving Medicaid payment under fee for service or managed care. This section, known as the Medicaid IMD ADDITIONAL INFO Act, also requires MACPAC ... [Read More]

March report also recommends revising safety-net hospital funding formula to target states with the greatest share of low-income residents Washington, DC—The Medicaid and CHIP Payment and Access Commission (MACPAC) today released its March 2019 Report to Congress on Medicaid and CHIP, calling on Congress to make changes in how it implements pending cuts to disproportionate share ... [Read More]

New data shows a slight decrease in Medicaid and CHIP enrollment last year   The Medicaid and CHIP Payment and Access Commission (MACPAC) today released the December 2018 edition of the MACStats: Medicaid and CHIP Data Book, with updated data on national and state Medicaid and CHIP enrollment, spending, benefits, and beneficiaries’ health, service use, and access ... [Read More]