Federal News
MACPAC Recommends Wage Transparency Enhancements
March 12, 2026
The Medicaid and CHIP Payment and Access Commission (MACPAC) released its March 2026 Report to Congress, emphasizing the need to increase wage transparency for home- and community-based services (HCBS) workers. This recommendation aims to strengthen the HCBS workforce and improve Medicaid service delivery. The report also addresses behavioral health spending in Medicaid and CHIP, care transitions for justice-involved youth, and healthcare access for children in foster care, providing critical insights for federal and state policymakers shaping Medicaid programs.
- Why this matters: Enhanced wage transparency can influence procurement strategies by encouraging states and agencies to prioritize fair compensation models in HCBS contracts, potentially affecting vendor selection and contract terms.
- Procurement professionals should anticipate evolving requirements or incentives related to workforce compensation and transparency in Medicaid HCBS solicitations.
- Contractors providing HCBS and behavioral health services may find opportunities to align proposals with these workforce strengthening priorities.
- Agencies and vendors should consider how these recommendations might impact future Medicaid and CHIP program funding allocations and service delivery models.
Improving wage transparency for people who deliver care in home-and community-based settings will help states strengthen this vital workforce.
— Verlon Johnson, MACPAC Chair
Agencies
Medicaid and CHIP Payment and Access Commission, United States Department of Health and Human Services
Locations
Sources
- MACPAC Releases March 2026 Report to Congress - MACPAC · Macpac · Mar 12