Access
One of the key tests of the effectiveness of a health care coverage program is whether it provides access to appropriate health care services in a timely manner and whether those services promote health improvements. Learn more about MACPAC’s work on access to care for Medicaid and CHIP beneficiaries.
Learn More about These Topics
- Monitoring managed care access
- Monitoring access under fee for service
- Key findings on access to care
- MACPAC’s access framework
- Availability of providers
Featured Publications
Timely Access to Home- and Community-Based Services
March 13, 2025
Chapter 2 focuses on states’ eligibility and enrollment processes for home- and community-based services (HCBS) programs and makes a recommendation for guidance on provisional plans of care.
Medicaid HCBS are designed to allow people with long-term services and supports (LTSS) needs to live in their homes or a home-like setting in the community. While HCBS is […]
Appropriate Access to Residential Services for Children and Youth with Behavioral Health Needs: Interview Findings
February 27, 2025
During this session, staff shared findings from interviews with state and federal officials, national experts, advocates, and providers about appropriate access to residential treatment services for beneficiaries who need them. Key themes that emerged from interviews related to data collection and sharing, admission and discharge processes, coverage and payment levers, and provider capacity.
Health Care Access for Children in Foster Care
February 27, 2025
In response to the Commission’s continued interest in health care access for children and youth in child welfare, staff has initiated work examining how Medicaid meets the unique needs of the foster care population. Staff conducted a systematic examination of federal requirements and state delivery methods of Medicaid benefits to children in foster care. During […]