ADVI Analysis: MACPAC April 2024 Meeting

MACPAC held a meeting April 11-12 (link). The following relevant topics were discussed

• Medicaid Demographic Data Collection
• Improving Transparency of Medicaid & CHIP Financing
• Optimizing State Medicaid Agency Contracts
• Vote on June Report and Lessons from Medicaid Unwinding

ADVI Angle

Key takeaways from the April meeting include:

• Medicaid Demographic Data Collection
  • MACPAC staff presented on the need to improve Medicaid demographic data collection, primarily regarding language, sexual orientation and gender identity (SOGI), and disability. Commissioners were supportive of this work, making minor suggestions on improvement to ensure the highest quality data is collected.
• Improving Transparency of Medicaid & CHIP Financing
  • MACPAC staff reviewed proposed recommendations that expand on prior recommendations to increase transparency of provider contributions in Medicaid financing for both Medicaid and CHIP. Commissioners voted unanimously to pass the draft recommendations.
• Optimizing State Medicaid Agency Contracts
  • MACPAC staff presented proposed recommendations that build on previous recommendations to improve integration strategy and efficiency relating to State Medicaid Agency Contracts (SMACs). Commissioners reviewed a draft chapter on SMAC optimization and voted unanimously to pass both presented recommendations.
• Lessons from Medicaid Unwinding
  • MACPAC staff held a panel featuring Medicaid experts to discuss the lessons learned from the Medicaid Unwinding process, and opportunities stakeholders and policymakers can explore to improve outcomes. Commissioners expressed heightened interest in improving processes relating to ex parte renewals, notices, and enrollee outreach.

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