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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.

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Featured Publications

Transitions to Adult Medicaid Coverage for Children and Youth with Special Health Care Needs

May 21, 2026

Medicaid plays an important role in covering health care services for almost half of all children and youth with special health care needs (CYSHCN). When CYSHCN age out of children’s Medicaid and transition to adult Medicaid, they must navigate many changes to their coverage, benefits, and care, and may experience challenges that can lead to gaps and loss of […]

Children and Youth with Special Health Care Needs Transitions to Adult Coverage: Recommendations and Updated Implications

May 7, 2026

In April 2026, MACPAC staff presented a draft chapter for the June 2026 report to Congress and six recommendations to improve coverage transitions for children and youth with special health care needs. In May, staff presented a summary of all six recommendations for a Commissioner vote. This presentation included updated information about the federal spending […]

Access to Care for Medicaid-Enrolled Youth in Foster Care

March 12, 2026

Chapter 4 of the March 2026 report provides an overview of how Medicaid meets the needs of children in child welfare. Children and youth in the child welfare system represent a small but highly vulnerable segment of the Medicaid-enrolled population. The chapter includes background information about children and youth in foster care, their health status, […]