Evolution of Medicaid coverage of Medicare cost sharing.
Date of Pub
State Medicaid agencies are required to assist low-income Medicare beneficiaries to pay Medicare cost sharing, defined as
premiums, deductibles, and coinsurance, as follows: all cost sharing for those below the Federal poverty level (FPL) and otherwise
qualifying; Part B premiums for persons with incomes 100-120 percent of FPL; all or a portion Part B premiums for persons
120-175 percent of FPL, limited by funding availability; Part A premiums for persons with disabilities who have worked their
way off Social Security and whose incomes are below 200 percent of FPL. States also have the option to extend additional protections
or to cover additional Medicare beneficiaries beyond what is mandated by Federal law. Obviously, Federal changes in Medicare
may have profound, if not always anticipated, implications for Medicaid. Understanding how current policy on dually eligible
beneficiaries came into being may help shape what it will become.
Cost Sharing : Disabled Persons : Eligibility Determination : Human : Medicaid : Medicare : Social Security/legislation &
jurisprudence : United States