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MACPAC Reviews and Finalizes Chapters in March Report to Congress

February 24, 2012—The Medicaid and CHIP (Children’s Health Insurance Program) Payment and Access Commission (MACPAC) met briefly Feb. 16 to discuss final changes in its March report to Congress. The commission received an update from MACPAC staff on sections pertaining to individuals with disabilities, program integrity efforts, provider access for children, and Medicaid and CHIP financing.

The commission approved two recommendations supporting the use of quality metrics and cost-effective innovative care for disabled persons enrolled in Medicaid. Members specifically urged the Secretary of Health and Human Services (HHS) and the states to pursue innovations that promote coordination of physical, behavioral, and community support services along with the development of payment approaches that foster cost-effective service delivery. The commission also recommended that the federal and state governments should update and improve quality assessment efforts by utilizing measures that are specific, robust, and relevant for this Medicaid population.

MACPAC members also supported two additional recommendations in the program integrity chapter. The commission urged the HHS Secretary to ensure that current oversight efforts do not place an undue burden on the states or providers. It was agreed that the secretary should simplify and streamline regulatory requirements, determine which federal program integrity efforts are most effective, and move to eliminate those programs that are redundant, outdated, and not cost effective. Additionally, members approved a recommendation that the HHS Secretary should take immediate steps to deter fraud and abuse by assessing and promoting its most effective tools for detecting fraud. The commission also recommended that the secretary should enhance training courses that address program integrity in Medicaid managed care.

Additional information about the meeting is available on the MACPAC website. The next meeting is scheduled for April 19.


Scott Wetzel, M.P.P.
Lead, Quality Reporting
Telephone: 202-828-0495


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Washington Highlights, a weekly electronic newsletter, features brief updates on the latest legislative and regulatory activities affecting medical schools and teaching hospitals.

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