Re: DUAL ELIGIBLE CHANGES IN AFFORDABLE CARE ACT

[Guest guest]

Can anyone translate what this means? Is this good news? Some of you

already-dually-eligibles, please enlighten the rest of us.

Thanks!

The Centers for Medicare and Medicaid Services (CMS) released an Informational

Bulletin concerning billing individuals who are eligible for both Medicare and

Medicaid (dual eligibles) for health care costs not covered by either program.

The Qualified Medicare Beneficiary (QMB) is a Medicaid program that pays for

Medicare premiums, deductibles and co-payments for individuals with low incomes.

Providers of Medicare services are prohibited from billing QMBs for deductibles,

coinsurance, or copayments.

CMS released an Informational Bulletin concerning Section 3309 of the Affordable

Care Act which eliminates Medicare Part D cost-sharing for full benefit dual

eligible individuals receiving home and community-based services in lieu of

institutional services. Section 3309 became effective on January 1, 2012.

From: ELLEN BRONFELD

Sent: Monday, January 23, 2012 10:30 PM

IPADDUnite

Subject: Capitol Insider from Arc US

Here is some information that you might find useful... This is from the Capitol

Insider, a weekly newsletter from the Arc US:

Education - ADA Amendments Act

The Office for Civil Rights in the Department of Education issued a letter and

Frequently Asked Question (FAQ) document to school districts that explains the

changes made to broaden the definition of " disability " by the Americans with

Disabilities Act Amendments Act (ADAAA) of 2008 and implications for elementary

and secondary schools. The ADAAA amended the ADA and Section 504 of the

Rehabilitation Act. Essentially, the letter and FAQ document advise school

districts to protect the rights of all children with disabilities, including

those who, in the past, may not have been considered to have a disability but

who, under the expanded definition of disability under the ADAAA, may now

qualify as a student with a disability.

Medicaid - Health care costs for dual eligibles

The Centers for Medicare and Medicaid Services (CMS) released an Informational

Bulletin concerning billing individuals who are eligible for both Medicare and

Medicaid (dual eligibles) for health care costs not covered by either program.

The Qualified Medicare Beneficiary (QMB) is a Medicaid program that pays for

Medicare premiums, deductibles and co-payments for individuals with low incomes.

Providers of Medicare services are prohibited from billing QMBs for deductibles,

coinsurance, or copayments.

CMS released an Informational Bulletin concerning Section 3309 of the Affordable

Care Act which eliminates Medicare Part D cost-sharing for full benefit dual

eligible individuals receiving home and community-based services in lieu of

institutional services. Section 3309 became effective on January 1, 2012.

Ellen

Ellen Garber Bronfeld

mailto:egskb%40sbcglobal.net