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
- Federal Requirements and State Options: Benefits (including dental services for adults) (see
- Federal Requirements and State Options: Eligibility (see
- Federal Requirements and State Options: Provider Payment (see
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.
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.”
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.