Dually Eligible Beneficiaries

On February 28, Justice in Aging released an issue brief titled “Dual Eligible Special Needs Plans (D-SNPs): What Advocates Need to Know.” This issue brief provides advocates with basic information about D-SNPs, whom they serve, and their structure. It also identifies specific areas where advocates can engage with their states to ensure that D-SNPs work effectively to coordinate care and benefits for dually eligible individuals, including strategies in centering equity from the outset in the design of D-SNPs...

On December 14, the Center for Medicaid and CHIP Services (CMCS) issued an Informational Bulletin to advise state Medicaid agencies that starting January 1, 2024, Medicare will begin covering and making payments for marriage and family therapists (MFT) and mental health counselors (MHC), and intensive outpatient program (IOP) services provided to dually eligible beneficiaries, or individuals enrolled in Medicare and Medicaid. These provisions were implemented as part of the Calendar Year (CY) 2024 Physician Fee Schedule final rule (Centers for Medicare & Medicaid Services (CMS)-1784-F, “Revisions to Payment Policies under the Medicare Physician Fee Schedule, Quality Payment Program and Other Revisions to Part B for CY 2024”)...