Presentation is loading. Please wait.

Presentation is loading. Please wait.

State Implementation of MMA

Published byJulius Watson Modified over 5 years ago

Similar presentations

Presentation on theme: "State Implementation of MMA"— Presentation transcript:

1 State Implementation of MMA
Gale Arden Director Disabled and Elderly Health Programs Group, Center for Medicaid and State Operations

2 Part D: State Issues Coordination with CMS, SSA & States
Transitioning Dual Eligibles Low-Income Subsidy Process Coordination with CMS, SSA & States Application process SPAPs Educating beneficiaries State Fiscal Analysis

3 Dual Eligibles: Transition to Medicare Prescription Drug Coverage
Reaching Beneficiaries Protecting Special Populations Establishing Appropriate Safeguards Working with States Ensuring Continuity of Coverage Providing Extra Help

4 Strategy for Transitioning Duals Paper

5 Enrollment Process Ensure full-benefit dual eligibles transition to Part D plan by 1/1/06 This population will be randomly enrolled in a plan as follows: To PDP (if in FFS Medicare) or MA-PD (if in Medicare Advantage plan) Premium subsidized by Federal Government Able to opt-out of the plan Can choose another plan at any time, as long as they are full-benefit dual eligible

6 Low-income Subsidy – Challenges for States
Preparing for low-income subsidy eligibility determinations Identifying full benefit dual eligible individuals Interacting with SSA Educating Medicaid recipients about upcoming changes Coordinating care With the PDPs and MA-PDs Formularies

7 Low-income Subsidy – Challenges for States
Comprehensive financial impact on states Phasedown state contribution Increased administrative costs Retiree subsidy Others

8 Important Dates CMS mails notice to Deemed Eligibles
May – June, 2005 CMS mails notice to Deemed Eligibles May – August, 2005 SSA mails application to Potential Eligibles Fall 2005 Beneficiaries choose Part D plan Can still apply for subsidy after enrolling January 1, 2006 Effective date of auto-enrollment of full-benefit dual eligible individuals June 2006 Effective date of facilitated enrollment of full-benefit dual eligible individuals

9 MMA Information for States
MMA_States Listserv On scroll down and click on “Mailing Lists” on the right yellow sidebar. Enter your information in the requested fields and choose the subscribe button for “MMA_States”. State MMA Information Bi-monthly State Calls Generally, 1st and 3rd Mondays of each month Call-in info and agenda sent via MMA_States listserv

10 More MMA Information Beneficiary-Friendly Publications
Outreach Toolkit Information Kit: Condensed version Request via MMA Q&A Submit questions: Browse answers: click on “Prescription Drug Coverage” 1-800-MEDICARE scripts State Captain for each Region

11 Questions?

Download ppt "State Implementation of MMA"

Similar presentations

Part Ds Low-Income Benefits: Theory and Reality Marc Steinberg, Families USA Health Action 2006 January 26, 2006 ** Washington, DC

Part Ds Low-Income Benefits: Theory and Reality Marc Steinberg, Families USA Health Action 2006 January 26, 2006 ** Washington, DC
K A I S E R C O M M I S S I O N O N Medicaid and the Uninsured Figure 0 The Transition of Dual Eligibles to Medicare Drug Coverage: Implications for Beneficiaries.

K A I S E R C O M M I S S I O N O N Medicaid and the Uninsured Figure 0 The Transition of Dual Eligibles to Medicare Drug Coverage: Implications for Beneficiaries.
Medicare Part D John A. Geib 10/3/05. Medicare Modernization Act (MMA) 2003 and How the MMA impacts California’s Medi-Cal Program Largest change in healthcare.

Medicare Part D John A. Geib 10/3/05. Medicare Modernization Act (MMA) 2003 and How the MMA impacts California’s Medi-Cal Program Largest change in healthcare.
Adam J. Falk, Esq. FELDESMAN TUCKER LEIFER FIDELL LLP Legal issues for Medicaid Plans Under Part D in Serving Dual Eligibles MEDICAID HEALTH PLANS OF AMERICA.

Adam J. Falk, Esq. FELDESMAN TUCKER LEIFER FIDELL LLP Legal issues for Medicaid Plans Under Part D in Serving Dual Eligibles MEDICAID HEALTH PLANS OF AMERICA.
Medicare Part D and HIV/AIDS: What a Clinician May Want to Know Laura Cheever, M.D., ScM Deputy Director, Chief Medical Officer HIV/AIDS Bureau Health.

Medicare Part D and HIV/AIDS: What a Clinician May Want to Know Laura Cheever, M.D., ScM Deputy Director, Chief Medical Officer HIV/AIDS Bureau Health.
© 2005 National Mental Health Association The Medicare Drug Benefit: What Is It and What Does it Mean for Mental Health? Get Educated, Get Enrolled An.

© 2005 National Mental Health Association The Medicare Drug Benefit: What Is It and What Does it Mean for Mental Health? Get Educated, Get Enrolled An.
Medicare Open Enrollment

Medicare Open Enrollment
Medicare Prescription Drug Coverage Extra Help with Medicare Prescription Drug Costs for Those Who Need it Most.

Medicare Prescription Drug Coverage Extra Help with Medicare Prescription Drug Costs for Those Who Need it Most.
Medicare Prescription Drug Coverage. What’s Different About Prescription Drug Information? One size does not fit all, more than ever before Distinct messages.

Medicare Prescription Drug Coverage. What’s Different About Prescription Drug Information? One size does not fit all, more than ever before Distinct messages.
Part D Data Sharing Harry Gamble Office of Financial Management CMS.

Part D Data Sharing Harry Gamble Office of Financial Management CMS.
Medicare Modernization Act, Part D Prescription Drug Benefit Presentation for County Program Administrators September 1, 2005.

Medicare Modernization Act, Part D Prescription Drug Benefit Presentation for County Program Administrators September 1, 2005.
Michael Fiore, Director Division of Plan Policy Centers for Medicare and Medicaid Services June 6, 2006 Innovations in Medicare Managed Care for Dual Eligible.

Michael Fiore, Director Division of Plan Policy Centers for Medicare and Medicaid Services June 6, 2006 Innovations in Medicare Managed Care for Dual Eligible.
Joint Informational Hearing The Federal Medicare Prescription Drug Act: State Readiness, Implementation, and Consumer Issues Bonnie Burns, Training and.

Joint Informational Hearing The Federal Medicare Prescription Drug Act: State Readiness, Implementation, and Consumer Issues Bonnie Burns, Training and.
Prescription Drug Improvement and Modernization Act Dorothy Della Sherwood, M.D. Presbyterian Hospital of Dallas 2/22/2006.

Prescription Drug Improvement and Modernization Act Dorothy Della Sherwood, M.D. Presbyterian Hospital of Dallas 2/22/2006.
© 2005 National Mental Health Association The Medicare Drug Benefit: What Is It and What Does it Mean for Mental Health?

© 2005 National Mental Health Association The Medicare Drug Benefit: What Is It and What Does it Mean for Mental Health?
Medicare Prescription Drug Benefit: Part D Health & Disability Advocates Stephanie Altman, J.D. 312-223-9600 Ext. 15 www.hdadvocates.org www.makemedicarework.org.

Medicare Prescription Drug Benefit: Part D Health & Disability Advocates Stephanie Altman, J.D Ext
Medicare Prescription Drug, Improvement, and Modernization Act of 2003 Roy Trudel, CMSO National Eligibility Workers Association 07/12/05.

Medicare Prescription Drug, Improvement, and Modernization Act of 2003 Roy Trudel, CMSO National Eligibility Workers Association 07/12/05.
What’s in the Mail? Overview of Medicare Prescription Drug Coverage Beneficiary Communications Employer Forum Conference Call October 13, 2005.

What’s in the Mail? Overview of Medicare Prescription Drug Coverage Beneficiary Communications Employer Forum Conference Call October 13, 2005.
Medicare 101 Module 1B. Medicare 101 9/18/20152 Medicare 101 Introduction to Medicare Original Medicare Medicare Supplement Insurance (Medigap) Medicare.

Medicare 101 Module 1B. Medicare 101 9/18/20152 Medicare 101 Introduction to Medicare Original Medicare Medicare Supplement Insurance (Medigap) Medicare.
January 2006 1 2006 National Medicare & You Training Program Amy Larrick, CMS NAACP April 27, 2006.

January National Medicare & You Training Program Amy Larrick, CMS NAACP April 27, 2006.

Similar presentations

Ads by Google