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Improved Healthcare for Medicare and Medicaid Dual Eligibles

This act aims to enhance the quality and coordination of healthcare for individuals enrolled in both Medicare and Medicaid. It establishes a dedicated fund to support state programs in improving their capacity to ensure the provision of quality integrated care for these beneficiaries. Additionally, it introduces biennial expenditure audits (PERM) to ensure proper use of public funds.
Key points
Establishment of a Dual Eligible Quality Care Fund with $100 million to support state Medicaid programs.
Funds can be used for hiring specialists, developing IT systems, assisting beneficiaries with enrollment, and monitoring service quality.
Introduction of biennial audits of Medicaid program expenditures to reduce improper payments.
States will be required to submit plans to mitigate improper payments.
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Additional Information
Print number: 117_S_3630
Sponsor: Sen. Scott, Tim [R-SC]
Process start date: 2022-02-10