tci Medicare Compliance & Reimbursement - 2005 Issue 6

Drug Coverage: Auto-Enrollment May Ease Transition For Dual Eligibles

But no such luck for the lowest-income patients Beneficiaries dually eligible for both Medicare and Medicaid will be automatically enrolled in a drug plan by September or early October. Bottom line on getting hard-to reach low-income enrollees into the program, according to the Centers for Medicare and Medicaid Services: Congress clearly intended each beneficiary to choose his or her own drug plan. But the law does allow what the agency dubs "facilitated enrollment" of people who'll qualify for low-income financial assistance - all beneficiaries with incomes at or below 150 percent of the federal poverty level. This means that...

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