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CHIP

The State Children’s Health Insurance Program (CHIP) is a joint federal-state program established to provide coverage to uninsured children in families whose incomes are too high to qualify for Medicaid. In fiscal year (FY) 2022, 8.3 million children received CHIP-funded coverage. Spending in states and territories for FY 2022 totaled $22.3 billion ($16.9 billion federal, $5.4 billion state). Under current law, CHIP allotments are provided through FY 2029. Learn more about CHIP and MACPAC’s analysis of its future.

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Featured Publications

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.

Transitions of Care for Children and Youth with Special Health Care Needs (CYSHCN): Draft Policy Recommendations

February 27, 2025

MACPAC staff presented four draft policy recommendations to address challenges related to transitions from pediatric to adult care for CYSHCN. The draft recommendations reflect the Commission’s feedback from the December and January meetings. The four recommendations are viewed as complementary efforts to improve CYSHCN transitions of care but could also stand on their own.
The draft […]

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 […]