MACPAC staff presented six draft policy recommendations to address challenges related to CYSHCN transitions of coverage. The draft recommendations reflect the Commission’s feedback from the January 2026 meeting. The draft recommendations include directing the Centers for Medicare & Medicaid Services (CMS) to require states to send advance notice to CYSHCN aging out of child eligibility; states to provide up to 30 days for beneficiaries to respond to requests for information in eligibility redeterminations; CMS to coordinate with the Social Security Administration on model notice language; CMS to issue guidance to states on supporting CYSHCN transitions to adult coverage; states to adopt the state option for Medicaid coverage for CYSHCN not otherwise covered; and Congress to amend the statute to implement 12-month continuous eligibility for CYSHCN.
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Medicaid and CHIP Payment and Access Commission