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Program Administration

The Centers for Medicare & Medicaid Services (CMS) and the individual states and territories jointly administer Medicaid and the State Children’s Health Insurance Program (CHIP). CMS is responsible for program administration at the federal level. CMS approves state plans and state plan amendments, waivers, and demonstration programs; enforces compliance; and provides guidance to states.

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Featured Publications

Testimony: Hearing on Improper Payments and Ensuring Program Integrity

April 16, 2024

On April 16th, MACPAC Commissioner Tim Hill testified before the House Committee on Energy and Commerce Subcommittee on Oversight and Investigations for a hearing on improper payments in Medicare and Medicaid.
Ensuring program integrity (PI) in Medicaid is important given the program’s role as a key safety net program, serving 94 million beneficiaries in fiscal year 2022 […]

Federal Survey Sample Size Analysis: Disability, Language, and Sexual Orientation and Gender Identity

October 11, 2023

The Medicaid and CHIP Payment and Access Commission contracted with State Health Access Data Assistance Center (SHADAC) to conduct a review and sample size analysis of 13 federal population health surveys. The review identified which surveys included questions about disability, primary language, limited English proficiency (LEP), and sexual orientation and gender identity (SOGI). The sample […]

Medicaid Demographic Data Collection

September 15, 2023

During the last report cycle, the Commission assessed the usability of Medicaid race and ethnicity data. In MACPAC’s March 2023 Report to Congress, the Commission recommended updating the model single, streamlined application race and ethnicity questions and developing model training materials to encourage responses. In addition to these recommendations, the Commission identified a need for […]