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June 2022 Report to Congress on Medicaid and CHIP

MACPAC’s June 2022 Report to Congress on Medicaid and CHIP contains six chapters of interest to Congress: (1) monitoring access to care, (2) improving the oversight and transparency of directed payments, (3) improving access to vaccines for adults enrolled in Medicaid, (4) encouraging the use of health information technology (IT) among behavioral health providers, (5) requiring states to integrate care for people who are dually eligible for Medicaid and Medicare, and (6) advancing health equity in Medicaid.

  • Chapter 1 makes recommendations to create a new and more robust system for monitoring access to care for Medicaid beneficiaries that would allow for comparisons across states and delivery systems.
  • Chapter 2 focuses on improving the oversight and transparency of managed care directed payments, which have become a large and growing share of Medicaid payments and outstrip other types of supplemental payments.
  • Chapter 3 makes recommendations to improve access to vaccines for adults enrolled in Medicaid.
  • Chapter 4 looks at how Medicaid policy can be used to support adoption of health IT among behavioral health providers to better integrate behavioral health and physical health care.
  • Chapter 5 takes an important step forward in making integrated care a standard for the 12.2 million people who are dually eligible for Medicaid and Medicare.
  • Chapter 6 addresses how to advance health equity in Medicaid, which has become a cross-cutting theme in MACPAC’s analyses.

Chapters: