HHS Seeks Comments on Dual-Eligibles

Margaret Dick Tocknell, for HealthLeaders Media , May 13, 2011
Among the concerns:
  • How can the Medicare and Medicaid programs better ensure dual eligible individuals are provided full access to the program benefits?
  • What steps can CMS take to simplify the processes for dual eligible individuals to access the items and services guaranteed under the Medicare and Medicaid programs?
  • Are there additional opportunities for CMS to eliminate regulatory conflicts between the rules under the Medicare and Medicaid programs?
  • How can CMS best work to improve care continuity and ensure safe and effective care transitions for dual eligible beneficiaries?
  • How can CMS work to eliminate cost-shifting between the Medicare and Medicaid programs?

The request for comments is here. Comments will be collected until July 11, 2011.

Margaret Dick Tocknell is a reporter/editor with HealthLeaders Media.

Comments are moderated. Please be patient.

1 comments on "HHS Seeks Comments on Dual-Eligibles"

Judy Halcom (5/16/2011 at 5:59 PM)
My sister in law is a dual eligible. Under Medicare, she does not qualify for having her Part B premium paid because of husbands income. However, on Medicaid, when she had to be in nursing home, she did qualify. However, when she was discharged from nursing home, Medical Assistance was to notify social security that she no longer qualified for the state paying the part b premium(As of April 1, 2010). However, the state did not notify Medicare and Social Security. When They finally did notify them, social security sent a notice to my sister in law that because she did not pay premiums in 2010 she now had to pay a higher premium in 2011. Mind you, my sister in law was never notified by Medicaid that the state would no longer pay her premiums and the state never notified ss and medicare. so my sister in law has to pay $20.00 more a month for part b premiums. There is something radically wrong is this scenario. I have tried to contact Medicaid and just get the run around. All they should have to do is notify social security that Medicaid made a mistake and the patient should still only have to pay $96.40 instead of $115.40.




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