Better Medicare and Medicaid Coordination: Support for States.
This Act aims to improve the coordination of Medicare and Medicaid benefits for individuals eligible for both programs (dual eligible individuals). States will receive grants to develop and implement integration plans, which should simplify healthcare access and reduce bureaucracy for citizens. Individuals eligible for both programs can expect more consistent and easier-to-navigate healthcare, including better coordination of mental health benefits.
Key points
Funding for States: States will receive planning grants (up to $5 million) to develop Medicare and Medicaid integration plans, followed by up to 80% reimbursement for initial implementation costs.
Improved Care for Dual Eligibles: Integration plans must include strategies for education, beneficiary protections, unified grievance structures, and better coordination of mental health benefits.
Citizen Input: States are required to establish Consumer Advisory Councils, composed of dual eligible individuals and their advocates, to ensure that integration plans reflect patient needs.
Expired
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