About the Medicare-Medicaid Coordination Office

SPOTLIGHT & RELEASES

Reminder! We welcome your input to the State Payment of Medicare Premiums (formerly called “State Buy-in Manual”) Draft - Submit Comments and Questions through 5:00 p.m. EST on February 29, 2020. More information is available (State Payment of Medicare Premiums page).
02/10/2020: The Fiscal Year 2019 Report to Congress (PDF) for the Medicare-Medicaid Coordination Office is now available.
01/23/2020: The Integrated Care Resource Center (ICRC) has provided new appeals and grievance technical assistance tools (D-SNPs page).
01/17/2020 - Additional Guidance on CY2021 Medicare-Medicaid Integration Requirements for D-SNPs (01/17/2020) (PDF) was released (D-SNPs page).
12/13/2019 - Draft to Update Manual for State Payment of Medicare Premiums (formerly called “State Buy-in Manual”)
CMS released a draft Manual for State Payment of Medicare Premiums (formerly called “State Buy-in Manual”) to states and other stakeholders for review and comment. The draft manual updates information and instructions to states on federal policy, operations, and systems concerning the payment of Medicare Parts A and B premiums (or buy-in) for individuals dually eligible for Medicare and Medicaid. We are welcoming comments through 5:00 p.m. EST on February 29, 2020. More information is available (State Payment of Medicare Premiums page).

 

Advancing Care for People with Medicaid and Medicare

The Federal Coordinated Health Care Office (Medicare-Medicaid Coordination Office) serves people who are dually enrolled in both Medicare and Medicaid, also known as dually eligible individuals or Medicare-Medicaid enrollees.  Our goal is to make sure dually eligible individuals have full access to seamless, high quality health care and to make the system as cost-effective as possible.

The Medicare-Medicaid Coordination Office works with the Medicaid and Medicare programs, across federal agencies, states, and stakeholders to align and coordinate benefits between the two programs effectively and efficiently. We partner with states to develop new care models and improve the way dually eligible individuals receive health care.

Goals

The goals of the Medicare-Medicaid Coordination Office are:

1. Providing dual eligible individuals full access to the benefits to which such individuals are entitled to under the Medicare and Medicaid programs. 

2. Simplifying the processes for dual eligible individuals to access the items and services they are entitled to under the Medicare and Medicaid programs. 

3. Improving the quality of health care and long-term services for dual eligible individuals. 

4. Increasing dual eligible individuals' understanding of and satisfaction with coverage under the Medicare and Medicaid programs. 

5. Eliminating regulatory conflicts between rules under the Medicare and Medicaid programs. 

6. Improving care continuity and ensuring safe and effective care transitions for dual eligible individuals. 

7. Eliminating cost-shifting between the Medicare and Medicaid program and among related health care providers. 

8. Improving the quality of performance of providers of services and suppliers under the Medicare and Medicaid programs. 

You may also sign up for regular email updates by visiting this link.

Page Last Modified:
02/11/2020 02:34 PM