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31 sty 2023 · The 12.5 million people who are jointly enrolled in Medicare and Medicaid, Medicare-Medicaid enrollees (also referred to as dually-eligible beneficiaries or dual eligibles), receive their primary...
People who are entitled to both Medicare and Medicaid, also known as dually eligible individuals, fall into several eligibility groups. These individuals may either be enrolled first in Medicare and then qualify for Medicaid or vice versa.
Dually eligible individuals must navigate two separate programs: Medicare for the coverage of most preventive, primary, and acute health care services and prescription drugs, and. Medicaid for the coverage of LTSS, certain behavioral health services, and Medicare premiums and cost-sharing. FIGURE 1.
Dual-eligible beneficiaries (Medicare dual eligibles or "duals") refers to those qualifying for both Medicare and Medicaid benefits. In the United States, approximately 9.2 million people are eligible for "dual" status. [1][2] Dual-eligibles make up 14% of Medicaid enrollment, yet they are responsible for approximately 36% of Medicaid ...
Federal law defines Medicaid and MSP income and resource standards, but States can efectively raise those limits above the Federal floor (except for QDWIs). Annually, the Centers for Medicare & Medicaid Services (CMS) releases eligibility standards for dually eligible beneficiaries.
31 lip 2023 · Most (73%) dual-eligible individuals are eligible for the full range of Medicaid benefits not otherwise covered by Medicare and are referred to as “full-benefit” dual-eligible...
