MACPAC Issues June Report to Congress

In its June report to Congress, the Medicaid and CHIP Payment and Access Commission (MACPAC) makes recommendations for monitoring and evaluating community engagement requirements in Medicaid, automating prior authorization, and ensuring accountability in managed care.

MACPAC recommends the Centers for Medicare and Medicaid Services (CMS) develop a transparent plan for monitoring and evaluating community engagement requirements in Medicaid. The monitoring plan should provide insight into how such policies affect eligibility and enrollment. CMS should identify new metrics for state reporting and build on existing data collection to minimize administrative burden. The evaluation plan should outline CMS' approach to evaluating the effect of community engagement requirements on employment, health, and state and federal administrative and program spending. CMS should ensure timely publication of monitoring and evaluation results to inform policy and operation decision making.

MACPAC also recommends stronger safeguards for the use of prior authorization automation in managed care, including increased disclosure and transparency.

MACPAC meets six times a year and submits reports to Congress in March and June. The commission's next term starts in September 2026.

Contact Director of Policy Rob Nelb, MPH, at [email protected] or 202.585.0127 with questions.