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
Overview of Recently Published Final Rules
September 19, 2024
In this session, staff presented a summary of the provisions in four final rules that the Centers for Medicare & Medicaid Services (CMS) recently issued on eligibility and enrollment, access to care, managed care, and nursing facility staffing and payment transparency. For each rule, staff provided an overview of key requirements, highlighted how CMS responded […]
Access in Brief: Children and Youth with Special Health Care Needs
August 8, 2024
Children and youth with special health care needs (CYSHCN) have a wide range of health care needs, including physical, mental and behavioral health conditions, and levels of limitations that require health and related services beyond that required by children generally. It is important that this population has timely access to care because they can experience […]
Enrollment and Access Barriers for People with Limited English Proficiency
July 23, 2024
Individuals with limited English proficiency (LEP) do not speak English as their primary language and have a limited ability to read, write, speak, or understand English. In 2021, there were approximately 25.7 million people with LEP in the United States, including almost 4.9 million Medicaid and State Children’s Health Insurance Program (CHIP) enrollees. In the […]
