Medicaid Advisory Committee Overview

Community input. Meaningful impact.

Delaware is launching 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 will replace the existing Medical Care Advisory Committee (MCAC), effective July 9, 2025.

Statement of Purpose

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.

Membership Requirements

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.

Application Process & Selection

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

How to apply for the MAC:

• Online Application Apply here: MAC Application
• Delaware’s Proposed – DSHP 1115 Waiver Extension Public Notice November 2022
• Download and print application here: MAC paper application.pdf
• 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 meeting dates and times. All meetings are open to the public.
• Meeting Minutes and Recordings
Access notes and recordings from past meetings to stay informed.
• Current Members & Vacancies
Meet the individuals serving on the MAC and learn about any current openings.
• Annual Report
Review a yearly summary of the committee’s work, recommendations, and progress.
• MAC Bylaws
Explore the rules and procedures that guide how the committee operates.
• Federal Rule MAC/BAC 42 CFR 431.12
Read the federal regulation that mandates the creation of this advisory committee.

Contact

Have questions? Email Terri Stoneburner, Sr. Administrator: dmma_macbac@delaware.gov