Access
One of the key tests of the effectiveness of a health care coverage program is whether it provides access to appropriate health care services in a timely manner and whether those services promote health improvements. Learn more about MACPAC’s work on access to care for Medicaid and CHIP beneficiaries.
Learn More about These Topics
- Monitoring managed care access
- Monitoring access under fee for service
- Key findings on access to care
- MACPAC’s access framework
- Availability of providers
Featured Publications
Considerations for Implementing Community Engagement Requirements: Findings from Stakeholder Interviews
December 11, 2025
States will soon be required to make Medicaid eligibility for certain applicants and existing beneficiaries contingent on their participation in qualifying community engagement activities in accordance with Public Law 119-21, an Act to Provide for Reconciliation Pursuant to Title II of H. Con. Res. 14 (2025 Budget Reconciliation Act). This session revisits the details of […]
Children and Youth with Special Health Care Needs (CYSHCN) Transitions to Adult Coverage: T-MSIS & Interview Findings
December 11, 2025
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 […]
Access in Brief: Adults’ Experiences in Accessing Medical Care
July 10, 2025
Medicaid provides health insurance to many people who would otherwise face financial barriers to health care, including low-income adults and people with disabilities. In this issue brief, we use data from the 2023 National Health Interview Survey to compare the demographics, health status, and financial barriers for adult Medicaid beneficiaries with adults who have either private […]