MACPAC Recommends Managed Care Transparency Reforms and HCBS Access Improvements
The Medicaid and CHIP Payment and Access Commission released its March 2025 Report to Congress containing recommendations to improve transparency in Medicaid managed care, enhance access to home- and community-based services, and reduce administrative burdens for states and the federal government. The recommendations include reforms to external quality review processes. The report provides policy guidance that may inform future CMS rulemaking and state contracting practices. MACPAC reports typically influence federal policy development and state Medicaid program design over 12-24 month timeframes.
MACPAC recommendations on managed care transparency and external quality review often become the basis for CMS regulatory requirements and state contract standards that directly affect MCO reporting obligations and oversight processes.
Managed Care · LTSS
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