Community input. Meaningful impact.
Delaware has recently launched a new Medicaid Advisory Committee (MAC) that will advise the Division of Medicaid and Medical Assistance (DMMA) on topics related to program operations and the needs of Medicaid beneficiaries. The committee’s primary role is to offer guidance that helps Medicaid programs better meet the needs of beneficiaries while ensuring compliance with both federal and state regulations. The MAC will be a diverse group of Medicaid stakeholders with a wide range of perspectives and experiences.
The MAC focuses on improving access to quality healthcare, addressing program challenges, and fostering transparency and accountability. It will review proposed changes to Medicaid policies, evaluate program performance, and advise on strategies to enhance service delivery. By serving as a bridge between Medicaid administrators and the public, the committee plays a vital role in shaping a responsive healthcare system.
The MAC, with support from Delaware Medicaid, will submit an annual report which includes a section describing the activities, topics discussed, and recommendations of the Beneficiary Advisory Council (BAC), as well as the State’s responses to the recommendations. MAC members will be provided an opportunity to have a final review of the annual report.
The MAC replaced the former Medical Care Advisory Committee (MCAC), effective July 9, 2025.
The Medicaid Advisory Committee (MAC) serves as a forum for meaningful stakeholder engagement and guidance on the administration of the state’s Medicaid program. The Committee’s purpose is to advise Medicaid on strategies to improve access, quality, and outcomes of care for Medicaid beneficiaries.
- Additions and changes to services
- Coordination of care
- Quality of services
- Eligibility, enrollment, and renewal processes
- Beneficiary and provider communications by State Medicaid agency and Medicaid MCOs
- Cultural competency, language access, health equity, and disparities and biases
- Access to services
- Other issues that impact the provision or outcomes of health and medical care services
The MAC is advisory, its insights are essential to informing program improvements.
The MAC will include 20 members: Five members will come from the Beneficiary Advisory Council (BAC), and the remaining members will represent the following groups:
- State or local consumer advocacy groups or other community-based organizations that represent the interests of, or provide direct service, to Medicaid beneficiaries.
- Clinical providers or administrators who are familiar with the health and social needs of Medicaid beneficiaries and with the resources available and required for their care. This includes providers or administrators of primary care, specialty care, and long-term care.
- Participating Medicaid MCOs or a health plan association representing more than one such plans
- Other State agencies that serve Medicaid beneficiaries (for example, foster care agency, mental health agency, health department, State agencies delegated to conduct eligibility determinations for Medicaid, State Unit on Aging), as ex-officio, non-voting members.
MAC Members will:
- Complete a term limit of at least 2 years and no longer than 3 years.
- Terms may not be followed immediately by a consecutive term for the same member
- Meet as a committee at least four times per year (quarterly) for no more than 2 hours per meeting*
*Delaware will make at least two MAC meetings per year open to the public and include a public comment period.
The Division will accommodate both in-person and virtual attendance, though in-person is preferred. A call-in option will also be available.
Accommodations for physical or language accessibility are available by contacting dmma_macbac@delaware.gov. Please put in request at least two weeks prior to the meeting.
MAC members are selected by the Medicaid Director and interested parties must submit applications for review. The review process is based on a selection rubric with points scored based on the current MAC membership and will include the following criteria:
- County of residence
- Category of applicant and current representation in the Committee
- Experience with the population served by Medicaid
- Expressed interest in the program and reason for joining
- Ability to attend meetings
- Diversity demographics
- Online MAC Application
- Download and print the MAC application
- Submit your printed application:
By mail:
DMMA- attn. Medicaid Advisory Committee
DHSS Campus
1901 N DuPont Hwy Lewis Building
New Castle, DE 19720- Electronically: dmma_macbac@delaware.gov
- By phone: Email for application
Resources
Click the links below for resources and additional information. Please note: this page is still under construction, and not all links are currently available.
Meeting Dates
View upcoming public meeting dates and times. All meetings are open to the public. Due to the name change of the meeting search for “MCAC” prior to July 9, 2025, and “MAC” thereafter.
Meeting Minutes and Recordings
Access notes and recordings from past meetings to stay informed.
| Current Members & Vacancies |
|---|
| Christina Bryan |
| Karen DiNardo |
| Pam Reuther |
| Dr. Julia Pillsbury |
| Cheryl Heiks |
| Lynn Robinson |
| Marissa Band |
| Dwayne Parker |
| Dr. Scott Rosenthal |
| Dr. Michael Bradley |
| Timothy Simpkins Jr. |
| Maryanne Bourque |
| Kimberly Robbins |
| Dr. Megan Werner |
| Amy Fierro |
| Donna Paulhamus |
| Olga Zapata |
| Jennifer Aaron |
| Ex Officio Members |
|---|
| Dr. Avani Virani |
| Michelle Statham |
| Jody Roberts |
Annual Report
Medicaid Advisory Committee By-Laws
Approved January 2026
ARTICLE I – AUTHORITY
The Medicaid Advisory Committee (MAC) is mandated in accordance with section 431.12, Title 42, Code of Federal Regulations, based on Section 1902(a)(4) of the Social Security Act.
ARTICLE II – PURPOSE AND ROLE
The purpose of the MAC is to advise the Division of Medicaid and Medical Assistance (DMMA) on matters of concern related to policy development and the effective administration of the Medicaid program. DMMA and the MAC will collaborate to provide advice on:
- Additions and changes to services
- Coordination of care
- Quality of services
- Eligibility, enrollment, and renewal processes
- Beneficiary and provider communications
- Cultural competency, language access, health equity, and bias
- Access to services
- Other issues affecting provision or outcomes of health and medical services
The Committee is advisory only and does not make policy.
ARTICLE III – COMPOSITION
A. Committee Structure
The MAC includes 13–25 members, all Delaware residents or licensed providers. Membership must represent Medicaid beneficiaries, providers, and healthcare advocates.
- Advocacy groups or community-based organizations
- Clinical providers or administrators
- A Medicaid Managed Care Organization representative
- Other state agencies serving Medicaid beneficiaries (non-voting)
- Minimum % representation from the Beneficiary Advisory Committee (BAC),
increasing yearly from 2025–2027
B. Selection and Appointment Process
All individuals apply to DMMA; the Medicaid Director appoints members.
C. Term Length
Terms are two years. Members may not serve consecutive terms but may return after a two‑year break.
D. Vacancies
Vacancies may be filled by the Medicaid Director for the remainder of the term.
E. Resignations
Members must submit written resignation to the Chair and Medicaid Director.
F. Officers
- Chair and Vice-Chair elected annually for up to two years
- Chair facilitates meetings and communication with Medicaid leadership
- Vice-chair fills in or completes term if chair resigns
ARTICLE IV – MEETINGS
A. Frequency and Times
- Meet quarterly or as requested
- Meetings up to two hours
- Scheduled to maximize attendance
B. Participation Options
Meetings may occur in person, by phone, or electronically.
C. Agendas and Minutes
- Agendas sent in advance
- Members may propose agenda items
- Conflicts of interest must be disclosed
- Minutes recorded by DMMA staff and approved next meeting
D. Notice of Meetings
- Annual schedule provided each year
- Published on DMMA website
- Members reminded at least 3 weeks in advance
E. Official Action
Chair facilitates motions and votes. Recommendations are submitted in writing to the Medicaid Director.
F. Quorum
A simple majority is required to conduct official business.
G. Public Participation
Meetings open to the public; opportunity for public comment included.
H. Publicly Available Information
- Member list, schedule, agendas, minutes posted publicly
- Annual report posted within 30 days of submission to CMS
I. Subcommittees
- May be established as needed
- Chaired by MAC members
- Report findings to full MAC
J. Beneficiary Advisory Council
Standing agenda item for report-out and discussion.
ARTICLE V – MEMBER PARTICIPATION AND ENGAGEMENT
- Members expected to attend all meetings
- Missing two consecutive meetings triggers notice; a third may result in removal
- Members must notify Chair/Vice-Chair of excused absences
- Members must review materials and stay informed
- Members must identify conflicts of interest
- Members may not speak publicly for MAC without approval
- Meetings must comply with ADA and civil rights regulations
ARTICLE VI – ROLE OF DMMA STAFF
- DMMA designates a staff liaison
- Provides updates on program changes
- Ensures staff attend meetings when needed
- Reports decisions back to MAC
- Supports administrative and technical needs
- Coordinates agendas and materials
- Supports preparation of annual report
- Provides orientation for new members
- May use surveys for member feedback
ARTICLE VII – BY-LAWS
By-laws must be reviewed every three years or as determined by the MAC. Notice of changes provided 15+ days prior to meeting. Amendments become effective upon approval.
Federal Rule
Read federal regulation MAC/BAC 42 CFR 431.12 that mandates the creation of this advisory committee.
