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Key Issues for State Programs for Medicare|Medicaid Enrollees


The Landscape of Medicare and Medicaid Coverage Arrangements ...

Some have raised concerns that, for dual-eligible individuals, care is fragmented, and benefits are poorly coordinated across the Medicare and ...

10 Things to Know About Medicaid - KFF

The COVID-19 pandemic profoundly affected Medicaid spending and enrollment. In 2023, Medicaid programs are facing new challenges and millions of ...

Report 10 State Strategies for Improving Medicaid

What are states doing related to enrollment, eligibility and cost-sharing? What are states doing to integrate behavioral health and primary care ...

Medicaid: Three Big Challenges Remain - Healthcare Executive

1. Eligibility and State Oversight According to the Centers for Medicare & Medicaid Services, individuals may qualify for free or low-cost care through Medicaid ...

Seniors & Medicare and Medicaid Enrollees

Services covered by both programs are first paid by Medicare with Medicaid filling in the difference up to the state's payment limit. 2024 Dual Eligible ...

State Payment of Medicare Premiums - CMS

On February 9, 2024, CMS updated chapter one of the manual to reflect streamlined enrollment processes for the Medicare Savings Programs ...

Unwinding Watch: Tracking Medicaid Coverage as Pandemic ...

The unwinding data identified states that were lagging on key metrics, such as low ex parte renewal rates (renewals using data sources without ...

Medicare Savings Programs: Enrollment Trends | MACPAC

MSPs, and in some cases, state eligibility policies for. MSPs ... 10 Beneficiaries and states may find the current MSP structure confusing.

Federal Policy Guidance | Medicaid.gov

Date: 09/20/2024 ; Topics: Access to Care; Children's Health Insurance Program; Compliance; Outreach & Enrollment; Program Administration ...

Medicaid & Medicare Savings Program Enrollment Visualization

Key Takeaways · Over 12 million people with Medicare are also enrolled in some form of Medicaid. · Our visualization tool provides a state- and ...

Qualified Medicare Beneficiary (QMB) Program - CMS

... Medicaid Enrollees in Managed Care: Strategies for States and Dual Eligible Special Needs Plans ... CMS topics. You can decide how often to ...

Medicaid: Key Issues Facing the Program | U.S. GAO

Transparency and oversight : The lack of complete and reliable data on states' spending—including provider payments and state financing of the ...

States Can Reduce Medicaid's Administrative Burdens to Advance ...

Like with many programs, administrative burdens in Medicaid both reflect and perpetuate systemic racism and racial inequity. Many administrative ...

Medicaid expansion & what it means for you | HealthCare.gov

As a result, some states haven't expanded their Medicaid programs. Adults in those states with incomes below 100% of the federal poverty level, and who don't ...

Streamlining Medicaid; Medicare Savings Program Eligibility ...

Current regulations at 42 CFR 433.112 establish conditions that State eligibility and enrollment systems must meet to qualify for enhanced ...

Medicaid: An Overview - CRS Reports

Under FFS, health care providers are paid by the state Medicaid program for each service provided to a Medicaid enrollee. Under managed care, ...

Medicare Savings Program Eligibility and Coverage

There are four programs that can help Medicare beneficiaries with ... Note that your state Medicaid agency may not implement the current ...

Medicare Savings Programs

Get help from your state paying your Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) premiums through a Medicare Savings Program.

Missouri Medicare assistance program options

The SHIP can help beneficiaries enroll in Medicare, compare and change Medicare Advantage and Part D plans, and answer questions about state Medigap protections ...

How and when to apply for Medicare - USAGov

Medicare is the federal health insurance program for people who are 65 and over. If you are under 65, you may be eligible to get Medicare ...