On April 10, 2025, the Medicaid and CHIP Payment and Access Commission (MACPAC) held the first day of its April meeting. Some sessions had recommendations that will be voted on tomorrow. Topics in the discussion included the following: Medicaid in Context, Children and Youth with Special Health Care Needs (CYSHCN) Transitions of Care, Timely Access to Home and Community Based Services, Access to Medications for Opioid Use Disorder, Understanding the Program of All-Inclusive Care for the Elderly (PACE) Model, Self-Direction for Home-and-Community-based services, and AI in the Prior Authorization Process.