MACPAC’s March 2025 Report to Congress on Medicaid and CHIP contains three chapters of interest to Congress: (1) recommendations to improve the usability and transparency of the managed care external quality review process, (2) improvements on timely access to home- and community-based services (HCBS), and (3) ways to streamline Medicaid Section 1915 authorities for HCBS and reduce the administrative burden on states and the federal government.
Chapter 1 makes three recommendations on how to improve the managed care external quality review process.
Chapter 2 focuses on HCBS and makes a recommendation to improve timely access to these services.
Chapter 3 includes an analysis of federal administrative requirements for HCBS programs and makes a recommendation to reduce the administrative burden for states and the federal government.