Medicaid and Medicare Integration

The Federal Coordinated Health Care Office (also known as the Medicare-Medicaid Coordination Office) attends to individuals who hold concurrent enrollment in both Medicare and Medicaid, referred to as dually eligible beneficiaries or those enrolled in Medicare-Medicaid, ensuring they enjoy comprehensive access to continuous, superior health services while optimizing the cost efficiency of the system.

The objectives of the Medicare-Medicaid Coordination Office include:

– Ensuring beneficiaries with dual eligibility have complete access to the privileges they are granted within the Medicare and Medicaid frameworks.
– Streamlining the procedures for beneficiaries with dual eligibility to procure the goods and services to which they are entitled within the Medicare and Medicaid schemes.

To align and synchronize benefits amidst the two programs effectively and cost-efficiently, the Medicare-Medicaid Coordination Office collaborates with the Medicaid and Medicare programs across federal entities, states, and interested parties. We forge partnerships with states to innovate new healthcare delivery models and enhance the manner in which individuals with dual eligibility receive medical care.