June 2013 Report to the Congress on Medicaid and CHIP

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June 2013

The Medicaid and CHIP Payment and Access Commission’s June 2013 Report to the Congress on Medicaid and CHIP examines Medicaid and State Children’s Health Insurance Program (CHIP) eligibility and coverage for maternity services, the newly implemented increase in Medicaid physician payment for primary care services, access to care for persons with disabilities, the availability of Medicaid and CHIP data that can be used by Congress for oversight and program monitoring, and improving the effectiveness of program integrity activities.

The Commission’s work in these areas is intended to help Congress better understand the dynamics of two programs that are both in flux. While they continue to serve their long-standing purpose of providing health care coverage to millions of low-income children, pregnant women, seniors, and persons with disabilities, Medicaid’s size and reach is expected to increase substantially over the next several years due to changes resulting from the Patient Protection and Affordable Care Act (ACA, P.L. 111-148, as amended).

Publication Type: Reports to Congress

Report Chapters

Tags: access, Affordable Care Act, capitation, churning, continuous eligibility, data, eligibility, eligibility determination, fee for service, fee schedules, infants, maternity services, payment, people with disabilities, physician fees, physicians, pregnant women, prenatal care, presumptive eligibility, primary care, program integrity, survey data, Transitional Medical Assistance (TMA)