Alliance Statement on MACPAC Report
Alliance Statement on MACPAC Report
National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 3/18/25
On Thursday, March 13th, the Medicaid and CHIP Payment and Access Commission (MACPAC) released its semi-annual report, which included three chapters and five recommendations. (See analysis from the National Alliance for Care at Home HERE and HERE.) Two recommendations in the MACPAC report concern home and community-based services (HCBS):
- Guidance regarding provisional plans of care to expedite delivery of HCBS,
- A recommendation to extend the approval periods of renewals for 1915(c) & 1915(i) to 10 years.
The Alliance appreciates these recommendations, and we broadly support both. However, the Alliance is concerned that these recommendations are not sufficient to ensure that the Medicaid program truly fulfils the promise of the Olmstead Supreme Court decision and provides care in the most integrated settings appropriate to the needs and preferences of individuals. ... Click here for The Alliance's recommendations to "restructure various HCBS authorities with the Medicaid program into a single statutory provision."