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
Implementing Community Engagements Requirements in Medicaid
June 15, 2026
Chapter 1 contains a recommendation to create a transparent plan for monitoring and evaluating community engagement (CE) requirements in Medicaid. Under the 2025 Budget Reconciliation Act (P.L. 119-21), states will be required to make Medicaid eligibility for certain applicants and existing beneficiaries contingent on their participation in qualifying CE activities. The chapter outlines the need […]
Transitions to Adult Medicaid Coverage for Children and Youth with Special Health Care Needs
May 21, 2026
Medicaid plays an important role in covering health care services for almost half of all children and youth with special health care needs (CYSHCN). When CYSHCN age out of children’s Medicaid and transition to adult Medicaid, they must navigate many changes to their coverage, benefits, and care, and may experience challenges that can lead to gaps and loss of […]
Children and Youth with Special Health Care Needs Transitions to Adult Coverage: Recommendations and Updated Implications
May 7, 2026
In April 2026, MACPAC staff presented a draft chapter for the June 2026 report to Congress and six recommendations to improve coverage transitions for children and youth with special health care needs. In May, staff presented a summary of all six recommendations for a Commissioner vote. This presentation included updated information about the federal spending […]