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
Access to Care for Medicaid-Enrolled Youth in Foster Care
March 12, 2026
Chapter 4 of the March 2026 report provides an overview of how Medicaid meets the needs of children in child welfare. Children and youth in the child welfare system represent a small but highly vulnerable segment of the Medicaid-enrolled population. The chapter includes background information about children and youth in foster care, their health status, […]
Automation in the Medicaid Prior Authorization Process: Policy Options
March 5, 2026
MACPAC conducted a literature review, a federal policy review, and stakeholder interviews on the role of automation in the Medicaid prior authorization (PA) process. During this session, we reviewed findings and challenges that surfaced in this research, including the extent to which automation is already in use in Medicaid PA; the availability of information and […]
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 […]