Helping states develop integrated programs for individuals who are dually eligible for Medicare and Medicaid
April 2021 Newsletter:
- Request for Public Comments: Proposed Increase in Medicare Hospice Payment Rates Would Also Increase Medicaid Rates
- COVID-19 and Dually Eligible Individuals
- Upcoming CMS Webinars
- April 2021 Enrollment in Medicare-Medicaid Plans
- April 2021 Enrollment in PACE Plans
March 2021 Newsletter:
- New ICRC Resources on Ombudsman Programs
- Glossary of Terms Related to Integrated Care for Dually Eligible Individuals
- Working with Medicare: Medicare 101 and 201 Webinars
- MACPAC and MedPAC March Reports to Congress: Issues Related to Integrated Care
- HPMS Memo on State Pharmaceutical Assistance Programs and AIDS Drug Assistance Programs
- Upcoming Webinar: Strategies for Health Plans to Support Access to COVID-19 Vaccines for Vulnerable Populations
On Thursday, July 1, 2021 from 3:00-4:30 pm ET, please join the Administration on Community Living (ACL) and the Centers for Medicare & Medicaid Services (CMS) for a webinar on Addressing Vaccine Hesitancy Among Direct Service Workers.
Here is our May 2021 Newsletter:
State and Health Plan Resources to Promote COVID-19 Vaccination Access
American Rescue Plan Act Will Provide Additional Support for Medicaid Home- and Community-Based Services
Opportunities to Support Enrollment in the Medicare Savings Programs and Extra Help
May 2021 Enrollment in Medicare-Medicaid Plans
May 2021 Enrollment in PACE Organizations
The Medicare Savings Programs and Extra Help are important programs designed to help low-income Americans afford Medicare coverage. Many people who are eligible for these programs are not yet enrolled. Each May, the Social Security Administration (SSA) sends letters to 2 million low-income Medicare beneficiaries, informing them about the Medicare Savings Programs and how they can help with Medicare costs. These include the Qualified Medicare Beneficiary (QMB), Specified Low-income Medicare Beneficiary (SLMB), and Qualifying Individual (QI) programs.
On March 11, 2021, the Centers for Medicare & Medicaid Services (CMS) released the updated State Phased-Down (SPD) Billing Guide. The Medicare Prescription Drug Improvement and Modernization Act of 2003 (Medicare Modernization Act or MMA) established the Medicare Part D prescription drug benefit. As a result, Medicare became the primary payer for most prescription drugs for full-benefit dually eligible individuals.
February 2021 Integrated Care Updates