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
Access in Brief: Postpartum Mental Health in Medicaid
January 15, 2025
Medicaid plays a critical role in providing maternity-related services for pregnant women, financing more than 41 percent of all births in the United States. It is also the single largest payer of behavioral health care. Approximately 20 percent of postpartum women experience mental health conditions, including mood disorders such as postpartum depression, anxiety, and bipolar […]
Transitions of Care for Children and Youth with Special Health Care Needs: Policy Considerations and Options
December 12, 2024
As children and youth with special health care needs (CYSHCN) reach adulthood, they need to transition from a pediatric to adult model of care. Findings from our work demonstrate that Medicaid-covered CYSHCN can experience challenges with this transition. This session provided a summary of findings and challenges, including those related to a lack of clearly […]
Overview of Recently Published Final Rules
September 19, 2024
In this session, staff presented a summary of the provisions in four final rules that the Centers for Medicare & Medicaid Services (CMS) recently issued on eligibility and enrollment, access to care, managed care, and nursing facility staffing and payment transparency. For each rule, staff provided an overview of key requirements, highlighted how CMS responded […]
