MACPAC Recommends Wage Transparency Requirements for HCBS Workers
The Medicaid and CHIP Payment and Access Commission released its March 2026 Report to Congress recommending increased wage transparency for home- and community-based services workers. The report also examines behavioral health in Medicaid and other program issues. MACPAC's recommendations are advisory to Congress and do not carry immediate regulatory force, though they often influence future legislative and CMS policy direction. The wage transparency recommendation responds to ongoing HCBS workforce shortages that affect MCO network adequacy and long-term services delivery.
Future CMS guidance or statutory changes requiring HCBS wage reporting could affect MCO rate submissions, network adequacy standards, and pass-through payment requirements in states with managed long-term services and supports programs.
LTSS · Long-Term Care · Managed Care
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