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Improving the lives of older Americans MIPPA Changes Impacting People with Medicare FamiliesUSA Health Action Conference January 2010
© 2007. Copyright NCOA LIS & MSP -- Asset eligibility alignment The Qualified Medicare Beneficiary (QMB), Specified Low- Income Beneficiary (SLMB) and Qualifying Individual (QI) programs will have the same asset (resource) level as full LIS, In 2010, these levels are $6,600 for a single individual and $9,910 for a married couple. At least $1,500 (individual)/$3,000 (married couple) must be excluded from counted assets for MSP Generally states have stricter rules for excluding monies for burial than LIS, usually requiring that the funds be kept in a separate and identifiable account – check with your Medicaid office Some states have already raised MSP asset levels above the federal floor, or have eliminated an asset test Examples: AL, AZ, DC, DE, ME, MS, NY, VT, and CT What could your state do? Effective January 1, 2010
© 2007. Copyright NCOA LIS & MSP -- Changes to the LIS eligibility criteria Cash surrender value of life insurance will no longer be counted as an asset for LIS eligibility States may choose to continue counting the cash surrender value of life insurance as an asset in determining MSP eligibility Effective January 1, 2010
© 2007. Copyright NCOA LIS & MSP -- Changes to the LIS eligibility criteria (continued) In-kind support and maintenance (ISM) will no longer be counted as income for LIS eligibility A few states still count ISM in deciding about entitlement for MSPs Does your state? If yes, can you get that changed? Effective January 1, 2010
© 2007. Copyright NCOA LIS & MSP -- Changes to the LIS application New question added (question 15) regarding the transmittal of data from SSA to state Medicaid agency to start an MSP application Your clients should only check the box if they wish to OPT OUT of this process Effective January 1, 2010
© 2007. Copyright NCOA LIS & MSP -- Estate recovery for MSP States are prohibited from recovering Medicaid expenditures for Medicare premiums and cost- sharing paid under MSPs from the estates of deceased Medicaid/MSP recipients Effective January 1, 2010
© 2007. Copyright NCOA LIS & MSP -- Part D Late Enrollment Penalties People with LIS are excused from paying Part D plan late enrollment penalty premiums This provision put into the law current CMS policy Related notes: QMB waives any otherwise applicable Medicare Parts A and B late enrollment penalty premiums SLMB and QI waive any Part B late enrollment penalty premiums Already in effect
© 2007. Copyright NCOA LIS & MSP: Transmission of LIS data from SSA to States LIS and MSP application provisions: Social Security Administration will transmit the information on LIS applications to state Medicaid agencies, starting with LIS applications filed on January 2, 2010 State Medicaid agencies must treat the data SSA transmits as the start of an MSP application Effective January 1, 2010 Since it takes SSA around 14 days to process most LIS applications, states should expect the first data transmissions by the third week in January 2010 Do you know if your state is getting these data?
© 2007. Copyright NCOA LIS & MSP -- New model MSP application CMS has developed a new model MSP application States are encouraged, but not required to use it Will be available in 10 languages -- Arabic, Chinese, French, Haitian-Creole, Farsi, Korean, Spanish, Tagalog, Russian, and Vietnamese. Translated model MSP applications are available online on CMS and SSA web sites Is your state using this simple, easy-to-complete application, or something more complex?
© 2007. Copyright NCOA LIS & MSP -- Extension of QI The QI program was extended, but only through the end of 2009 Already in effect NOTE: The American Recovery & Reinvestment Act (ARRA) extends QI even further – through December 31, 2010 Health Care Reform extended it further – what now???
© 2007. Copyright NCOA Resources MIPPA & Your Clients, National Center for Benefits Outreach & Enrollment Webinar, December 2009, http://www.mymedicarecommunity.org/showthread.ph p?t=4476 http://www.mymedicarecommunity.org/showthread.ph p?t=4476 CMS limited income and resources web page http:///www.cms.hhs.gov/limitedincomeandresources http:///www.cms.hhs.gov/limitedincomeandresources SSA fact sheet on MIPPA changes – in English http://www.socialsecurity.gov/pubs/10040.html http://www.socialsecurity.gov/pubs/10040.html SSA fact sheet on MIPPA changes – in Spanish http://www.socialsecurity.gov/espanol/10934.html http://www.socialsecurity.gov/espanol/10934.html
© 2007. Copyright NCOA Contact Hilary Sohmer Dalin Associate Director, Benefits National Council on Aging (202)479-6626 Hilary.email@example.com www.MyMedicareCommunity.org www.CenterforBenefits.org
CMS The Centers for Medicare and Medicaid Services (CMS) within the U.S. Department of Health and Human Services (HHS) is responsible for Medicaid program.
Clearing a Path to Savings: Removing Federal Barriers in Public Assistance Programs Amy-Ellen Duke The Center for Law and Social Policy November 15, 2006.
Part Ds Low-Income Benefits: Theory and Reality Marc Steinberg, Families USA Health Action 2006 January 26, 2006 ** Washington, DC
Copyright © Center for Medicare Advocacy, Inc. CENTER FOR MEDICARE ADVOCACY, INC. MEDICARE ADVANTAGE: 2010 AND BEYOND _____________.
Coordinating Enrollment in Health Coverage in 2014 From Vision to Reality Nov , 2010 Rachel Klein.
Copyright © Center for Medicare Advocacy, Inc. IN THE TRENCHES: MAKING MEDICARE CHANGES WORK FOR BENEFICIARIES Families USA January.
Strengthening Medicare Part D John Rother Director Policy & Strategy AARP Washington, DC November 5, 2007.
Improving the lives of older Americans Using Technology to Screen and Enroll People in Benefits: An Overview of BenefitsCheckUp Marlene Schneider AIRS.
Medicare and New and Existing Opportunities for Financial Assistance National Association of Health Underwriters June 2009.
Everything You Wanted to Know about the Medicare Improvement for Patients and Providers Act (MIPPA) …but Were Afraid to Ask!
Illinois Cares Rx What Happens Behind the Scenes.
Reductions in COBRA Premiums American Recovery & Reinvestment Act of 2009 (ARRA)
COBRA Premium Reduction Under the American Recovery and Reinvestment Act of 2009 (ARRA) Presented by Ray Davis, J.D. Compliance Consultant for National.
Washington State Hospital Association How the Affordable Care Act Affects Eligibility for Traditional Medicaid Programs Webinar January 9, 2014 How the.
Medicare, Buy-In, QMB, SLMB and QI-1
Diane Owens Speaker/Consultant Step Up Your Social Security.
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.
Supplemental Security Income (SSI). Getting Acquainted with SSI Here’s a great place to get your basic questions answered….
Medicare for People with End-Stage Renal Disease - Alaska Module 6: Version 12.
Minnesota Department of Human Services Estate Recovery Basics
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