Frequently Asked Questions

No, an upper payment limit demonstration considers all Medicaid payments (base and supplemental). States must conduct UPL demonstrations for the applicable services described in State Medicaid Director Letter (SMDL) 13-003 regardless of whether a state makes supplemental payments under the Medicaid state plan for the services.

FAQ ID:92191

No, states that already have submitted their 2018 (07/01/2017 - 06/30/2018) inpatient hospital, outpatient hospital, or nursing facility services UPL demonstrations will not have to resubmit using the templates. In that instance, CMS will populate the templates using data already submitted by the state.

FAQ ID:92211

States are requested to submit their UPL demonstrations to the UPL mailbox at MedicaidUPL@cms.hhs.gov, but should also send a copy of each demonstration to their CMS Regional Office, including the National Institutional Reimbursement Team (NIRT) and Non-Institutional Payment Team (NIPT) staff as appropriate, and addressed to the Associate Regional Administrator. UPL demonstrations should be submitted to meet the annual reporting requirement described in SMDL 13-003, as well as when proposing changes in payment through SPAs.

FAQ ID:92251

Yes, the templates allow the use of multiple methodologies. The state would complete the templates associated with the UPL methodologies used. For example, if the state uses a cost-based methodology for state owned hospitals and a payment-based methodology for private hospitals, then the state would complete the cost template for the state owned hospitals and the payment template for the private hospitals. When using multiple methodologies, the state should insert a new tab in the templates that summarizes the UPL gap calculations for each of the ownership categories (state government owned, non-state government owned, and private), unless a summary worksheet is already included in the workbook.

FAQ ID:92271

FAQ ID:92846

The spell check function is determined by your web browser and is not a feature within MACPro itself. Within Internet Explorer, there is an option to turn spelling correction on or off.

1. Under "Settings," choose the "Programs" tab and then select "Manage add-ons."
2. On the left hand tool bar, there is a "Spelling Correction" Add-on Type. There is a box labeled "Enable Spelling Correction" that can be selected.
3. Select "Enable spelling correction".

FAQ ID:92851

If there are questions or problems related to the system/website, please contact the MACPro Help Desk staff via email to MACPro_HelpDesk@cms.hhs.gov. If there are questions regarding the quality measure content or reporting please contact MAC Quality TA via the contact link at the bottom of the screen or by email to MACQualityTA@cms.hhs.gov.

FAQ ID:92726

User Management is a feature in MACPro that works in conjunction with the CMS EIDM user identification and authentication system. To request access to the MACPro application, a user must first go to the Enterprise Identity Management Portal (EIDM: https://portal.cms.gov ) and create an EIDM ID. Once an ID is created, the user must request access to the MACPro application by way of an EIDM role. Once their EIDM role request is approved, they may access MACPro via the link https://macpro.cms.gov  and enter their newly created EIDM credentials to log in. Once in MACPro, the user must request their MACPro roles and attributes via My User Profile under the Records tab. MACPro user role requests are approved by the State System Administrator, CMS System Administrator, or CMS Role Approver. Further detailed instructions can be found in the reference documents posted to Medicaid.gov (https://www.medicaid.gov/state-resource-center/medicaid-and-chip-program-portal/medicaid-and-chip-program-portal.html).

FAQ ID:92731

Yes, before logging out, save any information you have entered. Select the Logout link when you're finished with the application site and then close your browser. By doing so, you prevent others from potentially gaining access to your application in your absence.

FAQ ID:92736

Email the MACPro Help Desk at MACPro_HelpDesk@cms.hhs.gov.

FAQ ID:92741