Opportunities for States

SPOTLIGHT & RELEASES

11/01/2021: CMS released Medicare Part D Low Income Subsidy Program Enrollment and Medicare Savings Program Enrollment (June 2021) data. More information is available below.

 

NEW! Medicare Part D Low-Income Subsidy and Medicare Savings Programs Data

On November 1, 2021, we released an Informational Bulletin describing ways for states to help eligible individuals enroll in the Medicare Savings Programs (MSPs), making health care more accessible and affordable. There are 1.25 million people enrolled in full Medicare Part D Low Income Subsidy (LIS) programs who are not enrolled in an MSP, despite likely being eligible. We are releasing a complete state-by-state listing of number and percentage of LIS enrollees who are likely eligible for an MSP but are not enrolled. We encourage states to review this data and evaluate the impact of their current policies and procedures on MSP take-up among LIS enrollees.

Medicare Part D Low Income Subsidy Program Enrollment and Medicare Savings Program Enrollment (June 2021) (PDF)

 

State Medicaid Director Letter: Three New Opportunities to Test Innovative Models of Integrated Care for Individuals Dually Eligible for Medicare and Medicaid

On April 24, 2019, we released a State Medicaid Director letter inviting states to partner with CMS to test innovative approaches to better serve those who are dually eligible for Medicare and Medicaid. Approaches discussed in the State Medicaid Director letter include: integrating care through two options under the current Financial Alignment Initiative - the capitated financial alignment model and the managed fee-for-service model - and state-specific models that would give states additional flexibility.

Three New Opportunities to Test Innovative Models of Integrated Care for Individuals Dually Eligible for Medicare and Medicaid (SMDL 19-002)

 

State Medicaid Director Letter: Opportunities to Better Serve Dually Eligible Individuals

On December 19, 2018, we released a State Medicaid Director letter describing ten opportunities - none of which require complex demonstrations or Medicare waivers - to better serve individuals dually eligible for Medicare and Medicaid. These opportunities include utilizing new developments in managed care, using Medicare data to inform care coordination and program integrity initiatives, and reducing administrative burden for dually eligible individuals and the providers who serve them. A number of these opportunities are newly available to states through Medicare rulemaking or other CMS burden reduction efforts.

State Medicaid Director Letter (SMDL 18-012) on Opportunities to Better Serve Dually Eligible Individuals (12/19/2018)


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Page Last Modified:
12/01/2021 08:00 PM