As part of MACPAC’s work on CYSHCN, staff examined their transitions from child to adult Medicaid eligibility. Additionally, this work focused on how this transition may overlap with other age-related transitions, including the age-18 Supplemental Security Income (SSI) redetermination and the transition between child-only and adult Section 1915(c) home- and community-based services (HCBS) waivers.
Staff presented on findings from an analysis of the Transformed Medicaid Statistical Information System (T-MSIS) and stakeholder interviews. Staff shared findings from an analysis of coverage transitions and gaps in enrollment during the transition from child to adult Medicaid using T-MSIS. This session also highlighted factors that affect the Medicaid redetermination and 1915(c) HCBS waiver transition processes and identified key challenges and policy considerations for state Medicaid agencies.