Medicaid and CHIP Program (MACPro) Portal
The Centers for Medicaid and CHIP Services and the CMS Regional Offices adjudicate over 2,000 actions annually, including State Plan Amendments, Waiver applications, Advanced Planning Documents, and more. CMCS also engages in extensive work in the oversight of current programs, the development of new policy (regulations, State Medicaid Letters, on-going technical assistance to States, etc.) to keep pace with state and industry innovations.
Unlike Medicare where requirements and systems are federally driven, Medicaid and CHIP represent a federal and state partnership. Therefore as part of MACBIS, CMS has built a new state-facing system to capture states’ submissions of State Plan Amendments, Waivers, Quality Measures, Advanced Planning Documents, etc. This system, MACPro, is live as of December 2015 and continues to expand to include new authorities and state actions for CMS review.
CMS has been working to develop the Medicaid and CHIP Program system, which will make the process of modifying State Plans, Demonstrations and Waivers more streamlined, efficient, and transparent for state partners and researchers.
Explore the currently available systems and documents to apply for a change to the State Medicaid Plan, Waivers, and Demonstrations.
CMS Medicaid and CHIP Program Systems
Medicaid and CHIP Program (MACPro) System
The Medicaid and CHIP Program (MACPro) System allows CMS and states to collaborate online to process State Plan Amendments (SPA), waivers, Quality Measures reports, demonstrations, advance planning documents, and other initiatives. Contents in MACPro will expand over time as new modules are deployed. For MACPro assistance, please contact the MACPro Help Desk at MACPro_HelpDesk@cms.hhs.gov or call (301) 547-4688.
MACPro Roles and Administration
An Introductory Reference Document providing step by step instructions to manage your user profile, request and modify roles, and approve and deny roles is below. Brief introductory videos are also available.
Quality Measures Reporting
Video and slide decks for Quality Measures training and help are available for Adult, Child, Health Homes and Maternal & Infant Health authorities. Quality Measures Introductory Reference Documents for State and CMS users are below:
- MACPro Quality Measures Introductory Reference Document for State Users
- Quality Measures Quick Start Guide for CMS Users
Health Homes State Plan Amendment (SPA)
Video and slide decks for Health Homes SPA training and help are available for state and CMS users. MACPro Health Homes SPA Introductory Reference Documents (IRD) for State users are available below. Medicaid State Plan (Health Homes, Eligibility and Administration) IRDs for CMS users are available on the CMCHO Internal Site in the MACPro Training & Resources Documents Library.
- MACPro Health Homes State Plan Amendment Introductory State User Guide
- Introductory Guide for MACPro Health Homes State Plan Amendments Migrated Data
Medicaid MAGI Eligibility and Administration State Plan Amendment (SPA)
Video and slide decks for Medicaid Eligibility and Administration training and help are available. MACPro Medicaid Eligibility and Administration SPA Introductory Reference Documents for State users are available below. Medicaid State Plan (Health Homes, Eligibility and Administration) IRDs for CMS users are available on the CMCHO Internal Site in the MACPro Training & Resources Documents Library.
Enterprise Identity Management (EIDM)
Instructions providing an overview to gaining access to MACPro through the CMS Enterprise Portal is below:
Medicaid Model Data Lab
For more information on fillable PDFs see fillable PDF repository
Apply for Changes to the State plan:
- Medicaid MAGI Eligibility (access fillable PDFs)
- CHIP Eligibility (access fillable PDFs)
- Alternative Benefit Plans (ABPs) (access fillable PDFs)
- Health Homes
Reports on Medicaid program administration/implementation:
- Balancing Incentive Programs
- Recovery Audit Contractors
- Medicaid Payment Suspension Reporting
Waiver Management Systems
§1915(c) and §1915(b) Waiver Applications, and 372 Reports
Survey and Certification/Clinical Laboratory Improvement Amendment system (SC/CLIA) is a web-based application administered by the Centers for Medicare and Medicaid Services (CMS) under the Department of Health and Human Services (HHS). The primary activity of the SC/CLIA application is to capture expenses incurred by the States for survey activities that determine whether providers meet applicable requirements for participation in the Medicare, Medicaid and CLIA programs. Access to this system is only available to authorized State, CMS Regional Office and CMS Central Office users and requires a valid CMS user id.
Medicaid and CHIP Learning Collaborative
Federal and state partners establishing a robust working relationship to achieve high-performing state health coverage programs.
Environmental Scanning and Program Characteristics (ESPC) Database is in a Microsoft (MS) Access database that contains Medicaid and CHIP data, for the 50 states and District of Columbia.