ADEA State Update

Reports of Interest - April 2017

(State Policy, Reports of Interest, CHIP, Medicare and Medicaid Services) Permanent link   All Posts
  • MacPacMedicaid and CHIP (Children’s Health Insurance Program) Payment and Access Commission ( MACPAC) is a nonpartisan legislative branch agency that provides policy and data analysis and makes recommendations to Congress, the Secretary of the U.S. Department of Health and Human Services, and the states on issues affecting Medicaid and CHIP. MACPAC has released three issue briefs (listed below) examining state plan requirements and options across the following dimensions of the Medicaid program: eligibility standards, enrollment and renewal procedures, benefits, cost-sharing requirements, delivery systems, premium assistance, and provider payment policies.
  1. Federal Requirements and State Options: Benefits (including dental services for adults) (see issue brief).
  2. Federal Requirements and State Options: Eligibility (see issue brief).
  3. Federal Requirements and State Options: Provider Payment (see issue brief).


  • KFFLogoKaiser Family Foundation (KFF) released an issue brief discussing Medicaid work requirements and key policy questions to consider in terms of the impact on beneficiaries, states and other stakeholders. [1]

    Recently, policymakers have been discussing whether work requirements should have a place in the Medicaid program. On March 14, the Centers for Medicare and Medicaid Services signaled a change in this policy in a  letter to state governors indicating that it will use Section 1115 authority to approve provisions related to “training, employment, and independence.”  

[1]Section 1115 of the Social Security Act gives the Secretary of Health and Human Services authority to approve experimental, pilot or demonstration projects that promote the objectives of the Medicaid and Children’s Health Insurance Program (CHIP) programs. Under this authority, the Secretary may waive certain provisions of the Medicaid law to give states additional flexibility to design and improve their programs.

Duggan Dental