Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
Updated 12:32 PM MT
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MACPAC

21 stories

Federal Policy·54d ago

MACPAC Releases 2026-2027 Meeting Agenda on Program Integrity and Federal Oversight

The Medicaid and CHIP Payment and Access Commission (MACPAC) has published its analytic agenda for the 2026-2027 meeting cycle. The agenda includes program integrity, the federal role in Medicaid oversight, and other policy areas that will be examined through public meetings and research over the next two years. MACPAC's work typically informs congressional deliberations and CMS policy development. Managed care organizations should monitor MACPAC proceedings as the Commission's recommendations often lead to regulatory or legislative changes affecting MCO operations, compliance requirements, and payment policy.

Federal Policy·64d ago

MACPAC June 2026 Report Addresses Prior Authorization Automation and Managed Care Accountability

The Medicaid and CHIP Payment and Access Commission (MACPAC) released its June 2026 Report to Congress with recommendations on six policy areas affecting Medicaid managed care operations. The report addresses automation in prior authorization processes, managed care accountability measures, and access to residential treatment services, among other topics. The recommendations also cover community engagement requirements, services for youth with special health care needs, and the Program of All-Inclusive Care for the Elderly (PACE). These recommendations typically inform congressional legislation and CMS policy development over the following 12-24 months.

Federal Policy·82d ago

MACPAC Seeks Contractor for T-MSIS Data Analysis Services

The Medicaid and CHIP Payment and Access Commission issued a request for proposals for an indefinite delivery indefinite quantity contract to provide computing and data analysis services using the Transformed Medicaid Statistical Information System and other datasets. The contract will support MACPAC's ongoing research and policy analysis work. Proposals are being solicited through SAM.gov. This procurement reflects MACPAC's continued reliance on T-MSIS data for assessing Medicaid program performance, payment policy, and beneficiary access — research that informs Congressional action and CMS guidance affecting managed care plans.

Federal Policy·84d ago

MACPAC Recommends HCBS Wage Transparency in March 2026 Congressional Report

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 service delivery in Medicaid and CHIP. MACPAC's recommendations typically inform future CMS policy direction and congressional action on Medicaid financing and program design. Managed care organizations with HCBS and behavioral health contracts should review the full report for potential regulatory or contractual implications.

Industry·84d ago

MACPAC Awards 10-Year Research Contracts to Five Firms for Medicaid Analysis

The Medicaid and CHIP Payment and Access Commission awarded indefinite delivery indefinite quantity contracts to five research firms—Abt Global, Acumen, American Institutes for Research, Altarum Institute, and one additional organization—covering fiscal years 2026 through 2035. These contractors will provide analytic support, data analysis, and policy research to inform MACPAC's congressional recommendations on Medicaid and CHIP. The awards position these firms as primary sources of evidence and analysis that will shape federal Medicaid policy recommendations over the next decade, including managed care delivery system design and payment policy.

Industry·84d ago

MACPAC Awards 10-Year Survey Data Contract to University of Minnesota SHADAC

The Medicaid and CHIP Payment and Access Commission awarded a decade-long indefinite delivery indefinite quantity contract for survey data analysis to the State Health Access Data Assistance Center at the University of Minnesota. The contract runs from fiscal years 2026 through 2035 and will support MACPAC's congressional reporting on Medicaid and CHIP access and enrollment trends. This contract supports the data infrastructure behind MACPAC's annual reports to Congress that influence federal managed care policy and payment methodologies.

Federal Policy·84d ago

MACPAC Sets 2025-2026 Agenda: Enrollment, Community Engagement Among Policy Priorities

The Medicaid and CHIP Payment and Access Commission announced its analytic agenda for the 2025-2026 meeting cycle, focusing on enrollment and eligibility issues and community engagement requirements. MACPAC's research and recommendations influence congressional appropriations and CMS policy development. The agenda signals potential legislative activity in these areas, particularly relevant for managed care organizations navigating state contract requirements and federal compliance expectations. Plans should monitor MACPAC proceedings for early signals on regulatory direction.

Federal Policy·84d ago

MACPAC Seeks Vendors for Medicaid Administrative Data Management and Analysis

The Medicaid and CHIP Payment and Access Commission issued an RFI seeking vendors with experience securely managing and analyzing administrative data for government clients. MACPAC is looking for firms that can handle federal and state Medicaid data sources. This procurement signals MACPAC's ongoing work to strengthen its analytic capacity for monitoring Medicaid program performance, access, and payment policy—work that often informs Congressional deliberations and CMS policy development affecting managed care organizations.

Federal Policy·84d ago

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.

Industry·84d ago

MACPAC Seeks Contractor for Survey Data Analysis Task Order Contract

The Medicaid and CHIP Payment and Access Commission (MACPAC) has issued a request for proposals for an indefinite delivery indefinite quantity (IDIQ) task order contract focused on survey data analysis and technical assistance. The RFP is available on www.sam.gov. MACPAC is an independent legislative branch agency that advises Congress on Medicaid and CHIP policy. This procurement supports MACPAC's ongoing work analyzing access, quality, and payment issues in Medicaid managed care and fee-for-service programs.

Industry·84d ago

MACPAC Seeks Contractors for Multi-Award IDIQ Contract Under NAICS 541720

The Medicaid and CHIP Payment and Access Commission has issued a solicitation for a multiple-award Indefinite Delivery Indefinite Quantity contract. The request for proposal is available on SAM.gov under NAICS code 541720 (Research and Development in the Social Sciences and Humanities). This procurement may signal MACPAC's research priorities for analyzing Medicaid managed care policy, payment methodologies, and access issues. Firms providing Medicaid research and technical assistance should review the solicitation details on SAM.gov for submission requirements and deadlines.

Managed Care·84d ago

MACPAC Urges Managed Care Transparency Reforms, HCBS Access Improvements in March Report

The Medicaid and CHIP Payment and Access Commission released its March 2025 report recommending improvements to external quality review processes in Medicaid managed care, enhanced access to home- and community-based services, and reduced administrative burdens for states and CMS. The recommendations target managed care transparency and accountability mechanisms that directly affect MCO operations and oversight. MACPAC reports to Congress typically influence future CMS rulemaking and state policy decisions. Managed care organizations should review the full report for potential operational and compliance implications.

Managed Care·84d ago

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.

Federal Policy·84d ago

MACPAC Issues RFP for Multiple-Award IDIQ Contract

The Medicaid and CHIP Payment and Access Commission (MACPAC) has issued a solicitation for a multiple-award Indefinite Delivery Indefinite Quantity (IDIQ) contract. The request for proposal is available on the System for Award Management (SAM) at www.sam.gov under NAICS code 541720. MACPAC is a nonpartisan legislative branch agency that advises Congress on Medicaid and CHIP policy issues. The solicitation represents a re-bid of an existing contract vehicle.

Federal Policy·84d ago

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.

Federal Policy·84d ago

MACPAC Seeks Contractors for T-MSIS Data Analysis Services

The Medicaid and CHIP Payment and Access Commission has issued a request for proposals for an Indefinite Delivery Indefinite Quantity task order contract to perform computing and data analysis services using the Transformed Medicaid Statistical Information System and other datasets. The RFP is available on sam.gov. MACPAC uses T-MSIS data to analyze Medicaid program performance, utilization patterns, and payment policy across states. Contract awards will support the Commission's ongoing research and policy recommendations to Congress.

Federal Policy·84d ago

MACPAC Releases 2025-2026 Meeting Agenda on Enrollment, Community Engagement

The Medicaid and CHIP Payment and Access Commission has published its analytic agenda for the 2025-2026 meeting cycle. The agenda includes work on enrollment and eligibility issues, community engagement requirements, and other Medicaid policy areas that will inform congressional recommendations. MACPAC's upcoming meetings will examine these topics through data analysis and stakeholder input. The Commission's findings typically influence federal Medicaid policy development and congressional action.

Federal Policy·84d ago

MACPAC Awards 10-Year Survey Data Analysis Contract to SHADAC

The Medicaid and CHIP Payment and Access Commission (MACPAC) has awarded a 10-year Indefinite Delivery Indefinite Quantity (IDIQ) contract to the State Health Access Data Assistance Center (SHADAC) at the University of Minnesota for survey data analysis covering fiscal years 2026–2035. The contract will support MACPAC's ongoing analysis of Medicaid and CHIP access, enrollment, and coverage data. SHADAC specializes in health insurance coverage surveys and state-level data analysis. This contract ensures continuity in the data infrastructure that informs MACPAC's annual recommendations to Congress on Medicaid policy, payment rates, and program design.

Federal Policy·84d ago

MACPAC Awards Research Contracts to Five Firms for 2026–2035

The Medicaid and CHIP Payment and Access Commission awarded Indefinite Delivery Indefinite Quantity contracts to five research organizations—Abt Global, Acumen, American Institutes for Research, Altarum Institute, and a fifth unnamed firm—covering fiscal years 2026 through 2035. These contractors will support MACPAC's statutory mission to provide policy analysis and recommendations to Congress on Medicaid and CHIP. The awards follow a solicitation posted to SAM on May 7, 2025. MACPAC research informs federal policymaking on access, payment, and program design affecting managed care plans.

Federal Policy·84d ago

MACPAC Releases Updated MACStats Data Book Showing Second Year of Enrollment Decline Post-Unwinding

The Medicaid and CHIP Payment and Access Commission released its latest MACStats: Medicaid and CHIP Data Book showing national and state-level enrollment data. The data confirm Medicaid and CHIP enrollment declined for the second consecutive year following the end of the COVID-19 continuous coverage provision. The data book provides comprehensive national and state-specific metrics on enrollment, spending, benefits, and program operations. This resource tracks the ongoing impact of Medicaid unwinding and disenrollment trends affecting managed care plan membership.

Federal Policy·84d ago

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.

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