In 2014, the Center for Medicare & Medicaid Innovation (CMMI) launched the Medicaid Innovation Accelerator Program (IAP) to provide technical assistance to help states implement Medicaid payment and delivery system reforms.
This presentation reviewed the findings from the final evaluation of this program to inform a discussion about the Commission’s future work related to state administrative capacity. Overall, the evaluation found that states gained actionable knowledge from IAP but faced challenges when trying to implement new programs. The evaluation identified three common barriers to the successful implementation of IAP projects: state staffing challenges, changes in state priorities, and state budget constraints. Findings from the IAP evaluation can help inform future efforts to support state capacity that are funded through CMMI or other sources.