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
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 […]
Access in Brief: Children and Youth with Special Health Care Needs
August 8, 2024
Children and youth with special health care needs (CYSHCN) have a wide range of health care needs, including physical, mental and behavioral health conditions, and levels of limitations that require health and related services beyond that required by children generally. It is important that this population has timely access to care because they can experience […]
