CHA News Article

MACPAC Report Recommends Congress Broaden Eligibility Policy
MedPAC also releases annual report to Congress

The Medicaid and CHIP Payment and Access Commission (MACPAC) released its annual report to Congress last week. Summarizing its recent work on issues facing dual eligibles, the commission’s analysis confirmed that a small number of enrollees with substantial needs for long-term services and supports drive Medicaid spending for dual eligibles, demonstrating the need for reforms targeted to specific subgroups. The report also includes analysis of the role of state policies for Medicaid payment of Medicare premiums and cost-sharing for inpatient and outpatient hospital, skilled-nursing facility, and physician services. Finally, the commission examined states integrating care under programs such as Medicare Advantage dual eligible special needs plans (D-SNPs) and Program of All-inclusive Care for the Elderly (PACE) plans, and provided an overview of capitated rate setting in Medicaid managed care.

The MACPAC report makes two recommendations related to eligibility policy. First, it recommends Congress create a statutory option for states to implement 12-month continuous coverage for adults enrolled in Medicaid, as is currently the case for children; and second, that permanent funding be created for Transitional Medical Assistance for states that do not participate in the Medicaid expansion. The complete MACPAC report is available at

The Medicare Payment Advisory Commission (MedPAC) also released its annual report on payment policy to Congress last week, reflecting payment recommendations finalized in January. MedPAC’s complete report is available at  For more information, see these related CHA News stories:

MedPAC Releases Draft Recommendations for Payment Updates in 2014 (CHA News, Dec. 7, 2012)
MedPAC Adopts Positive Recommendations for Hospital Payments in FY 2014 (CHA News,  Jan. 10, 2013)