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Medicare-Medicaid Coordination Office

http://www.cms.gov/medicare-medicaid-coordination/

Advancing Care for People with Medicaid and Medicare

The Federal Coordinated Health Care Office (Medicare-Medicaid Coordination Office) serves people who receive benefits from both Medicaid and Medicare (often called "dual eligibles").  Our goal is to make sure dual eligible beneficiaries have full access to seamless, high quality health care and to make the system as cost-effective as possible.

The Medicare-Medicaid Coordination Office works with the Medicaid and Medicare programs, across Federal agencies, States and stakeholders to align and coordinate benefits between the two programs effectively and efficiently. We partner with States to develop new care models and improve the way dual eligibles get health care.

Established by the Affordable Care Act

The Medicare-Medicaid Coordination Office was established pursuant to Section 2602 of the Affordable Care Act.  The goals of the Office are:

  1. Providing dual eligible individuals full access to the benefits to which such individuals are entitled under the Medicare and Medicaid programs.
  2. Simplifying the processes for dual eligible individuals to access the items and services they are entitled to under the Medicare and Medicaid programs.
  3. Improving the quality of health care and long-term services for dual eligible individuals.
  4. Increasing dual eligible individuals' understanding of and satisfaction with coverage under the Medicare and Medicaid programs.
  5. Eliminating regulatory conflicts between rules under the Medicare and Medicaid programs.
  6. Improving care continuity and ensuring safe and effective care transitions for dual eligible individuals.
  7. Eliminating cost-shifting between the Medicare and Medicaid program and among related health care providers.
  8. Improving the quality of performance of providers of services and suppliers under the Medicare and Medicaid programs.

Questions? Comments? Ideas for improving the care experience for dual eligible beneficiaries.

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