MAC Early Childhood Intervention (ECI)
Texas has operated the Medicaid Administrative Claiming (MAC) project since 1995. MAC is the cost-based reimbursement methodology that 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 partnered 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 (Medicaid Administrative Claiming) expenditures which are 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 OMB Circular A-133. The auditor should research all other requirements to ensure that MAC funds are appropriately audited and reported.
Frequently Asked Questions
Frequently Asked Questions (.pdf)
Guides / Manuals / Tutorials
MAC Financial Participation Guide (.pdf) - effective October 1, 2010
MAC Video Tutorial - effective October 15, 2015
Time Study and MAC 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. In order 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:
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.