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What Is MACPAC — And Why Should You Care

by | Jul 29, 2025 | Community, Consumer

From Policy to Patients: The Public’s Stake in MACPAC Decisions

What Is MACPAC — And Why Should You Care?

The Medicaid and CHIP Payment and Access Commission (MACPAC) may not be a household name, but its influence reaches every home touched by Medicaid or CHIP. As an advisory body to Congress, MACPAC helps shape how healthcare is paid for and delivered — guiding policies that affect over 90 million Americans, including children, seniors, and families with limited income.

Their recommendations help determine:

  • Which services receive funding
  • How healthcare providers are reimbursed
  • What care looks like in rural and underserved areas
  • How contracts are awarded for essential services

Behind every report, there’s a real-world ripple effect — on doctor visits, hospital stays, community clinics, and long-term care.
#WellnessMatters

Learn More: MACPAC Overview

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Self-Help, Healthcare, Social and Cultural Education

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Learn what AHRQ and CMS do and how they can help!

Education For You

TeamSTEPPS® stands for Team Strategies and Tools to Enhance Performance and Patient Safety.

TeamSTEPPS® is:

  • an evidence-based framework aimed at optimizing patient and/​or resident care by improving communication and teamwork skills in healthcare settings;
  • another component to help support and enhance person-centered care by promoting the delivery of quality and safe care;
  • part of the ongoing patient safety movement which includes those receiving care across healthcare settings, including those living in nursing homes; and
  • focused on specific skills supporting team performance principles and concepts, and provides specific tools and strategies for improving communication and teamwork, reducing chance of error, and providing safer care.
covid-prevention
Process Improvement

Training Focused for Long Term Care (LTC):

Promote Quality and Safety

Antibiotics – Train the Trainer series:

Exploring antibiotics and their role in bacterial infections

Antibiotic resistance: How it happens and strategies to decrease the spread of resistance

Antibiotic Stewardship

Clostridium difficile Part One: Clinical Overview  (part one – clinical overview)

Clostridium difficile (Part Two: Strategies to Prevent, Track, and Monitor C. difficile)

Training Focused for Facilities:

 COVID-19 StAT Learning Series for Hospitals

The Centers for Medicare & Medicaid Services (CMS), with input from the Centers for Disease Control and Prevention (CDC) and other stakeholders, has developed the COVID-19 StAT Learning Series for Hospitals. StAT stands for Standards, Approaches and Tactics for COVID-19 Infection Control & Prevention. This online, mobile-friendly, self-paced training is intended for hospital infection control leaders, frontline hospital staff and hospital administrators.

With the COVID-19 StAT Learning Series for Hospitals, you will find the latest tools and techniques, along with refreshed best practices for a new era of infection prevention and control.

Each self-paced learning module is approximately 15 minutes long. Take the COVID-19 StAT Self-Assessment to determine which trainings are right for you.

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Review Your QPP Registration and Data

Be ready! If you are already registered have the security Official/Staff person log-in. If you aren’t sure who has access, create a system for your office so the following information is handy; gather the following:

  • Tax ID Number (TIN)
  • NPI (individual or all in the group)
  • Medicare PECOS PAC ID (numbers of members in the group)
  • PECOS Enrollment ID

It’s handy to have the Provider Enumeration Date and the last Update. As a member, you have access to an EXCEL workbook, ASK Us!

Connect to an Organization (practice) and Select a Role

This site outlines the steps to connect an Organization (like a practice, QCDR/Registry, or an APM Entity) and how to get the Security Official or Staff User role you need, and sign In.  If you have never registered, start here, a User Guide will be the tool needed. Once you are registered you will be redirected to HARP (this can take up to 15 min.)

QPP

Resources that speak to Timelines and Important Deadlines

 

Facilities and LTC

See how your facility will compare with other nursing homes!

Long Term Care – The Skilled Nursing Facility Value-Based Purchasing Program (SNF VBP)

Just as LTC learned where and how to access information and tools, CMS retired the site in Dec. 2020.  The new site, walks the user through the steps in retrieving data sets for specific data collection periods.

It’s handy to have tools! Visit our Education and Tools section or let us know how we can help!

As a Long-Term Care Facility (LTC) or Nursing Home 

  • CMS mandates are aligned to performance indicators related to the Healthcare Reform Act. The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children’s Health Insurance (CHIP), and health insurance portability standards.
  • Are you a Nursing Home or a facility that has beds for Rehab patients? Purposeful Concepts LLC offers the right level of leadership to guide your team with "role-based" strategies to best understand desired performance outcomes and pinpoint the change in a workflow that can make the difference. With LTC facilities now facing CMS mandates from both a federal and state standards align with components of care which are listed on a “LTC-Rule Job Aid” with measures or “F-tag” focus areas. CMS F-tags are used by each state department of Health and Centers for Medicare and Medicaid Services to survey quality of care provided to residents in facilities.  We have a custom tool available that correlates to the current available F-tags that focus on the survey process.  Join us, we offer different levels of service to best fit the needs of your facility.
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