Tag: dual-eligible
New data book provides dual-eligible landscape
January 23, 2024HME News Staff
WASHINGTON – People who are dually eligible for Medicare and Medicaid account for a disproportionate share of spending in both programs, according to an updated data book from MedPAC and MACPAC.
Dual-eligible beneficiaries totalled 19% of the Medicare population in 2021 but accounted for 35% of Medicare spending. Similarly, dual-eligible beneficiaries accounted for 13% of all Medicaid beneficiaries but 27% of Medicaid spending.
“The existence of separate Medicaid and...
Contract suppliers must be enrolled in Medicaid
August 22, 2013HME News Staff
WASHINGTON - Contract suppliers in competitive bidding areas can't bill dual-eligible beneficiaries for co-pays if they're not enrolled in the Medicaid program in the relevant state, AAHomecare has notified members in a bulletin. This extends to Medicaid managed care organizations. The association had sought clarification from CMS on the issue. Additionally, the prohibitions against billing dual-eligible beneficiaries for Medicare cost-sharing (i.e. deductible and co-insurance) apply under the program....