MACPAC Recommends Policies to Improve Pediatric-to-Adult Care Transitions in Medicaid
The Medicaid and CHIP Payment and Access Commission released its June 2025 Report to Congress with recommendations aimed at improving care transitions from pediatric to adult services for Medicaid-covered children and youth with special health care needs. The report addresses a longstanding gap in continuity of care that affects beneficiaries aging out of pediatric systems. MACPAC's recommendations are advisory and require Congressional action to implement. The proposals target improved coordination and care continuity for a vulnerable population that often experiences disruptions when moving from child-focused to adult-oriented providers and services.
Managed care organizations serving children with complex needs should review MACPAC's recommendations as potential future policy changes that could require enhanced care coordination protocols, network adequacy adjustments, and transition-of-care programs for adolescents aging into adult coverage.
Managed Care · CHIP · Long-Term Care
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