SHADAC Expertise

Medicaid and CHIP Policy

Medicaid and CHIP Policy

SHADAC has worked both independently and under contract to the Medicaid and CHIP Payment Access Commission (MACPAC) to monitor and analyze changes in the Medicaid and CHIP policy landscape such as Medicaid expansion, work requirements, eligibility and enrollment, as well as states’ waiver application, implementation, and evaluation and reporting guidelines.

Related SHADAC work:

Assessment and Synthesis of Selected Medicaid Eligibility, Enrollment, and Renewal Processes and Systems in Six States
SHADAC worked as a contractor for the Medicaid and CHIP Payment Access Commission (MACPAC) to conduct an assessment of Medicaid eligibility, enrollment, and renewal processes and systems in six study states—Arizona, Colorado, Florida, Idaho, New York, and North Carolina. Utilizing a multi-case study methodology as well as key informant interviews with state and local agency staff and advocacy organizations, SHADAC collected and synthesized data on Medicaid enrollment processes and systems for individuals whose income eligibility is based on Modified Adjusted Gross Income (MAGI) in order to assess the extent to which states were achieving desired goals such as program efficiency and a simplified beneficiary experience.

Addressing Social Determinants of Health through Behavioral Health-focused 1115 Waivers: Implementation Lessons from Six States
Through the Robert Wood Johnson Foundation’s “Research in Transforming Health” program, SHADAC researchers are conducting a study to understand how three states—Illinois, Texas, and Washington— are addressing the needs of justice-involved populations through implementation of Section 1115 Medicaid waiver programs. The specific aim of the study is to identify promising practices and lessons learned related to the development, implementation, and management of these innovative behavioral health policies with the purpose of informing policy development in states considering similar 1115 waivers.

Evaluation of the Implementation of Section 1115 Medicaid Expansion Waivers
SHADAC was commissioned by the Medicaid and CHIP Payment and Access Commission (MACPAC) to conduct an analysis of how four states implemented Section 1115 Medicaid expansion waivers. SHADAC examined how these four states--Arkansas, Indiana, Iowa, and Michigan--approached the implementation of key provisions of their waivers, including exchange plan premium assistance, enrollee contribution requirements, health savings accounts, healthy behavior incentives, and graduated copayments for emergency department use.