On March 15, the Medicaid and CHIP Payment and Access Commission (MACPAC), authorized under the Affordable Care Act, released an important report, MACPAC March 2012 Report to the Congress on Medicaid and CHIP, to Congress that includes a focus on persons with disabilities.
Medicaid spends more in total and per person on Medicaid-only enrollees under age 65 who qualify on the basis of a disability than it does on any other population in Medicaid.
The MACPAC report focuses on several priority issues: Medicaid and persons with disabilities, access to care for children enrolled in Medicaid or CHIP, state financing of Medicaid, federal CHIP, financing and program integrity in Medicaid.
The commission also makes four recommendations in this report, including two recommendations on Medicaid enrollees with disabilities and the need for program innovations that provide high-quality, cost-effective care and appropriate quality measurement and assessment for this population. The other two recommendations address ways to improve federal and state Medicaid program integrity initiatives.