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Medicare Savings Programs: Eligibility and Enrollment

The Medicare Savings Programs (MSPs) provide Medicaid assistance with Medicare premiums and cost sharing to individuals who are dually eligible for Medicaid and Medicare. A 2017 study conducted by the Urban Institute under contract with MACPAC estimated participation in late 2009 and 2010 at around 50 percent in MSPs with the most enrollment. The Commission subsequently made recommendations aimed at improving participation in the MSPs. Recent regulatory changes to streamline MSP eligibility and facilitate enrollment into these programs have led to renewed awareness of MSPs among policymakers.

This session provided Commissioners with a comprehensive overview of MSPs, including their benefits, eligibility criteria, and structure. Additionally, it presented a detailed description of the individuals who are currently enrolled in these programs. This discussion provided a foundation to inform future Commissioner discussions of potential policy options related to facilitating enrollment in the MSPs.