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On
April 22nd, CMS posted online a new proposed rule that includes
several provisions related to dually eligible beneficiaries and would
impact states, including proposals to (a) limit retroactive Medicare Part B
premium liability for states to 36 months, (b) retire the old stand-alone
buy-in agreements and specify
that the provisions of a state buy-in agreement shall be set forth in the
state’s Medicaid state plan, and (c) extend the Medicare Savings Programs
(MSPs) to cover premiums and cost sharing for individuals enrolling in the
new Medicare immunosuppressive drug benefit.
The
proposed regulations would also create a new Medicare special enrollment
period (SEP) for individuals losing Medicaid eligibility once normal
operations resume after the end of the COVID-19 public health emergency and
who did not enroll in Medicare on time.
The
most salient content begins under the section headers “SEP to Coordinate
with Termination of Medicaid Coverage,” “Modernizing State Payment of
Medicare Premiums,” and “Ensuring Coverage under the Medicare Savings
Programs”.
We
encourage you to review this proposed rule and provide comments through the
formal comment process. We will also provide an overview of the key
provisions of this proposed rule to states in the coming weeks.
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