The Medicaid and CHIP Payment and Access Commission (MACPAC) has issued its 2012 “Report to the Congress on Medicaid and CHIP,” which provides Congress with data and recommendations regarding quality of care, costs, and quality in the Medicaid and CHIP program. MACPAC specifically recommends that the Secretary and the states accelerate development of program innovations that support high-quality, cost-effective care for persons with disabilities, particularly those with Medicaid-only coverage, with priority given to innovations that promote coordination of physical, behavioral, and community support services and the development of payment approaches that foster cost-effective service delivery. The Secretary and states also should update and improve quality assessment for Medicaid enrollees with disabilities. In addition, MACPAC makes a series of recommendations to increase the efficiency of program integrity efforts while preventing an undue burden from being placed on states and providers. To enhance the states’ abilities to detect and deter fraud and abuse, the Secretary is encouraged to, among other things, promote effective analytic tools for detecting and deterring fraud and abuse, improve dissemination of best practices in program integrity; enhance program integrity training programs (including additional courses that address program integrity in managed care).