Puerto Rico is the oldest and most populous United States territory. The island’s present-day Medicaid program, the Government Health Insurance Plan, was established in 1993. Puerto Rico’s Medicaid program—along with its health system in general—has faced substantial challenges even before Hurricane Maria struck in 2017, including fiscal problems due to [Read More]
This slide presentation provides an overview of how the federal government finances Medicaid in the U.S. territory of Puerto Rico. Like Medicaid in the states, Puerto Rico must contribute its non-federal share in order to access federal dollars, which are matched at the designated federal medical assistance percentage (FMAP), or matching ... [Read More]
Chapter 5 responds to a U.S. House Appropriations Committee request for an analysis of Medicaid in Puerto Rico. Puerto Rico’s Medicaid program covers almost half of the island’s population. Like state programs, Medicaid in Puerto Rico pays for important health care services to low-income children, adults, people with disabilities, ... [Read More]
In the report accompanying the fiscal year 2019 Labor, Health and Human Services, and Education appropriations (P.L. 115-245), the House Committee on Appropriations asked MACPAC to examine options for ensuring long-term sustainable access to health care for Medicaid beneficiaries in Puerto Rico. MACPAC discussed this issue at its October and December 2018 and ... [Read More]
Puerto Rico is the oldest and most populous United States territory. The island’s present-day Medicaid program, the Government Health Insurance Plan, was established in 1993. Puerto Rico’s Medicaid program—along with its health system in general—has faced substantial challenges even before Hurricane Maria struck in 2017. These include fiscal problems due to ... [Read More]
In the report accompanying fiscal year 2019 Labor, Health and Human Services, and Education appropriations (P.L. 115-245), the House Committee on Appropriations asked MACPAC to examine options for ensuring long-term sustainable access to health care for Medicaid beneficiaries in Puerto Rico. MACPAC discussed this issue at its October and December 2018 meetings, and ... [Read More]
Puerto Rico is the oldest and most populous United States territory. The island’s present-day Medicaid program, the Government Health Plan, was established in 1993. This fact sheet summarizes the main requirements and design features of Puerto Rico’s Medicaid and CHIP programs, including eligibility and enrollment, benefits, financing and spending, data and ... [Read More]
The October 2018 MACPAC meeting covered a range of front-line issues in Medicaid, leading off with an analysis of disproportionate share hospital (DSH) allotments on Thursday morning. Following the analysis, the Commission discussed options for March recommendations on how to structure DSH allotment reductions that are scheduled to begin in fiscal year 2020. The Commission ... [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 ... [Read More]
Medicaid and the State Children’s Health Insurance Program (CHIP) operate in the five U.S. territories—American Samoa, the Commonwealth of the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands. This fact sheet summarizes Medicaid and CHIP’s federal requirements and design features in the territories, including eligibility and enrollment, benefits, financing and spending, ... [Read More]
Medicaid and CHIP Payment and Access Commission
