MACPAC Recommends Transition Support for Youth with Special Needs in Medicaid

The Medicaid and CHIP Payment and Access Commission released its June 2025 Report to Congress with recommendations to improve care transitions from pediatric to adult providers for Medicaid-covered children and youth with special health care needs. The report addresses a longstanding gap in continuity of care that often results in disrupted treatment and emergency department utilization when beneficiaries age out of pediatric services. Managed care plans should review their pediatric-to-adult transition protocols and network adequacy standards, as Congress may direct CMS to implement new transition requirements following MACPAC's advisory guidance.

Managed Care · CHIP · Maternal