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Washington Highlights

MACPAC Releases March Report to Congress

March 21, 2014— The Medicaid and CHIP (Children’s Health Insurance Program) Payment and Access Commission (MACPAC) March 15 released its March 2014 report to Congress. The report contains six chapters on key topics and includes seven recommendations for Congress to address.

Of particular importance to providers, MACPAC devotes a chapter to the policy implications of Medicaid non-disproportionate share hospital (DSH) supplemental payments. The commission issues a formal recommendation that the Secretary of Health and Human Services “should collect and make publicly available non-DSH UPL [upper payment limit] supplemental payment data at the provider level in a standard format that enables analysis.”

UPL payments account for over 20 percent of Medicaid fee-for-service payments to hospitals nationally and are not reported to the federal government at the provider level in a readily usable format. The intent of this recommendation is to provide greater transparency to Medicaid payments and facilitating Medicaid payment analysis.

The remaining five chapters are:

  • Medicaid and CHIP in the Context of the ACA;
  • Promoting Continuity of Medicaid Coverage Among Adults Under Age 65;
  • Issues in Pregnancy Coverage Under Medicaid and Exchange Plans;
  • ACA Eligibility Changes: Program Integrity Issues;
  • Children’s Coverage Under CHIP and Exchange Plans;
  • Hospital Supplemental Payments; and
  • MACStats: Medicaid and CHIP Program Statistics.

The commission elaborated on these topics and recommendations in its December meeting [see Washington Highlights, Dec. 20].

MACPAC will meet on April 10-11 to begin discussing its next report, which will be released in June.


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

Jason Kleinman
Sr. Legislative Analyst, Govt. Relations
Telephone: 202-903-0806


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Jason Kleinman
Sr. Legislative Analyst, Govt. Relations
Telephone: 202-903-0806