June 17, 2020

MACPAC Report Asks Congress to Address Challenges Facing Medicaid

In its June Report to Congress, the Medicaid and CHIP Payment and Access Commission (MACPAC) focused on fundamental challenges to Medicaid as the healthcare payer of last resort.

The report, released June 15, discusses improving integration of care for low-income seniors and people with disabilities who are dually eligible for Medicaid and Medicare. It cites the need to ensure that Medicaid is the payer of last resort when beneficiaries also have coverage from another insurance program. And, it asks Congress to address concerns about high rates of maternal morbidity and mortality.

Among recommendations in the six-chapter report, MACPAC suggested that the Centers for Medicare and Medicaid Services issue sub-regulatory guidance to create an exception to the special enrollment period for dually eligible beneficiaries eligible for Medicare-Medicaid plans. This exception would allow such individuals to enroll on a continuous (monthly) basis for purposes of switching plans or disenrolling under the special enrollment period.

MACPAC also recommended that Congress provide additional federal funding to enhance state capacity to develop and to implement integrated care models.

The MACPAC is a non-partisan legislative branch agency that provides policy and data analysis and makes recommendations to Congress, the Secretary of the United States Department of Health and Human Services, and states on a wide array of issues affecting Medicaid and the State Children’s Health Insurance Program.