Today the Centers for
Medicare & Medicaid Services (CMS) released a draft Manual for State
Payment of Medicare Premiums (formerly called “State Buy-in Manual”) to
states and other stakeholders for review and comment. The draft manual
updates information and instructions to states on federal policy,
operations, and systems concerning the payment of Medicare Parts A and B
premiums (or buy-in) for individuals dually eligible for Medicare and
Medicaid. The manual update is part of CMS’s Better Care for Dual Eligibles Strategic Initiative
aimed at improving quality, reducing costs, and improving customer
experiences.
States pay Medicare
Part B premiums each month for over 10 million individuals and Part A
premium for over 700,000 individuals. This process promotes access to
Medicare coverage for low-income older adults and people with disabilities,
and it helps states ensure that Medicare pays primary to Medicaid for its
dually eligible beneficiaries. Despite the importance of this process,
federal guidance on buy-in is out of date. The draft manual reflects
current statute, regulation, operations, and systems changes that have
evolved over time. Additionally, the draft manual re-organizes content to
make it easier for states to discern federal requirements and find
information.
We are welcoming
comments through 5:00 p.m. EST on February 29, 2020.
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