Texas has operated the Medicaid Administrative Claiming (MAC) project since 1995. MAC is the cost-based reimbursement methodology Texas uses to draw down federal matching funds for activities that facilitate client access to medically necessary Medicaid-funded services. The Texas Health and Human Services Commission (HHSC) has partners with local Early Childhood Intervention (ECI) Programs throughout Texas to implement MAC for providers of ECI services. The purpose of this partnership is to assist HHSC in providing effective and timely access to care for Medicaid recipients, more appropriate utilization of Medicaid covered services, and to promote activities that reduce the risk of poor health outcomes for the state's most vulnerable populations.
All MAC expenditures subject to reimbursement are Title XIX funds. The MAC reimbursements payments received from Medicaid Administrative Claims CFDA #93.778 are subject to the Single Audit Act. Therefore, the funds should be included on the SEFA (Statement of Expenditures of Federal Awards) on each entity's audited financial statements. If the MAC award is identified as a major federal program, the entity's external auditor should perform work deemed necessary to reduce risk and report the funds appropriately in accordance with Annual Single Audit. The auditor should research all other requirements to ensure that MAC funds are appropriately audited and reported.
Fairbanks, LLC-State of Texas Automated Information Reporting System (STAIRS)
Early Childhood Intervention - Case Management
Guides / Manuals / Tutorials
MAC Financial Participation Guide (.pdf) (06/16/2022)
MAC Video Tutorial - (10/15/2015)
Time Study and MAC Guide (.pdf)
MAC Managing Contacts in STAIRS Guide (.pdf)
View a list of important notices regarding Medicaid Administrative Claiming for Early Childhood Intervention.
The purpose of the Medicaid Administrative Claiming (MAC) program is to provide State affiliated public agencies in Texas the opportunity to submit reimbursement claims for administrative activities that support the Medicaid program. To participate in the MAC program, the ECI provider must be a public entity and enter into a MAC contract with the Texas Health and Human Services Commission (HHSC).
In addition to the contracting process, each ECI provider must also have an active Texas Provider Identifier (TPI) and/or National Provider Identifier (NPI), meet HHSC training requirements and participate in the Random Moment Time Study (RMTS), which includes the certification of the participant list and participation in the time study. To enroll as a Medicaid provider, please complete the Texas Medicaid fee-for-service provider enrollment form on the Texas Medicaid and Healthcare Partnership (TMHP) website:
Visit the TMHP provider enrollment site.
An ECI provider that is interested in participating for this upcoming Federal Fiscal Year (FFY) should consider beginning the process as soon as possible, as it may take many months to complete all paperwork and training requirements.
Listing and links to all forms required for participation in the MAC program.
The link below contains information regarding the ECI training information. It is IMPORTANT to carefully read all the information provided so as to fully understand who must attend "initial" training and who is eligible to take "refresher" training.