Hospice News October 8, 2025
The Medicaid and CHIP Payment and Access Commission’s (MACPAC) has called for greater collection of wage data to inform home- and community-based services (HCBS) rate settings in two federal health programs, raising concerns among some stakeholders.
The commission’s recommendation would apply to Medicaid and the Children’s Health Insurance Program (CHIP). If implemented, it would require states to gather and report more data about the wages earned by HCBS workers to help establish payment rates. Patients are able to receive hospice and palliative care through both Medicaid and CHIP, depending on the state.
“States need timely and accurate base data to build and maintain rates. Wage data are a critical input to developing rates that promote an adequate workforce,” MACPAC indicated...
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