Modernizing Medicare Savings Programs to Better Serve Dually Eligible Beneficiaries: Alignment of Medicare Savings Program Eligibility with the Medicare Part D Low Income Subsidy Program

Modernizing Medicare Savings Programs to Better Serve Dually Eligible Beneficiaries: Alignment of Medicare Savings Program Eligibility with the Medicare Part D Low Income Subsidy Program

Tip Sheet
Published: May 30, 2019
Publisher: Integrated Care Resource Center
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Associated Project

Supporting States in Improving Care for Dually Eligible Individuals through the Integrated Care Resource Center

Time frame: 2011-2024

Prepared for:

U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Medicare - Medicaid Coordination Office

This tip sheet details opportunities for states to improve the Medicare Savings Programs (MSPs) eligibility determination process and streamline enrollment into MSP benefits by aligning MSP eligibility criteria with those used for Medicare Part D Low-Income Subsidy (LIS) program. It provides a brief overview of MSP eligibility and existing tools that states can use to streamline the MSP enrollment process, as well as details regarding three specific MSP/LIS alignment approaches: (1) aligning income and asset disregard policies, (2) aligning family size requirements for determining applicable income, and (3) aligning dollar limits of eligibility criteria.

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