Get the free Medicare-Medicaid Coordination Fact Sheet

This fact sheet provides an overview of the individuals simultaneously enrolled in Medicare and Medicaid, known as dual eligible beneficiaries, highlighting their health conditions, spending patterns,

How to fill out medicare-medicaid coordination fact sheet

How to fill out Medicare-Medicaid Coordination Fact Sheet

1. Obtain the Medicare-Medicaid Coordination Fact Sheet from the designated source.
2. Read the accompanying instructions carefully to ensure proper understanding.
3. Gather necessary personal information, including your Medicare and Medicaid numbers.
4. Fill out the personal identification section with your name, address, and contact information.
5. Provide details regarding your current healthcare needs and any special circumstances.
6. Review the completed Fact Sheet for accuracy and completeness.
7. Submit the Fact Sheet as directed, either online, by mail, or in person.

Who needs Medicare-Medicaid Coordination Fact Sheet?

1. Individuals who are eligible for both Medicare and Medicaid.
2. Patients who require assistance in coordinating benefits between Medicare and Medicaid.
3. Healthcare providers who assess or assist dual-eligible beneficiaries.
4. Caregivers or family members managing healthcare for dual-eligible individuals.

People Also Ask about

Will I lose my Medicaid if I get Medicare?

Fortunately, Medicaid enrollees will not lose their benefits if they sign up for Medicare. As long as you are eligible for both programs in your state, you will continue to receive benefits from both Medicaid and Medicare. Things will work a little differently though.

What is the coordination of benefits for Medicaid and Medicare?

Coordination of benefits (COB) allows plans that provide health and/or prescription coverage for a person with Medicare to determine their respective payment responsibilities (i.e., determine which insurance plan has the primary payment responsibility and the extent to which the other plans will contribute when an

Does Medicare crossover to Medicaid?

Medicare uses a consolidated Coordination of Benefits Contractor (COBC) to automatically cross over to Medi-Cal claims billed to any Medicare contractor for Medicare/Medi-Cal eligible recipients. Note: Providers do not need to rebill to Medi-Cal on paper or electronically claims that automatically cross over.

What is the alignment of Medicare and Medicaid?

An MMP is an alignment initiative in which Medicare and Medicaid benefits are offered as a single plan in a three-way contract between CMS, the state Medicaid agency (SMA), and the health plan; a D-SNP model is when a health plan holds a contract with Medicare and then a separate contract with the SMA to provide

Does Medicare coordinate with Medicaid?

People who have both Medicare and full Medicaid coverage are “dually eligible.” Medicare pays first when you're a dual eligible and you get Medicare-covered services. Medicaid pays last, after Medicare and any other health insurance you have. If you're dually eligible, Medicare covers your prescription drugs.

How does Medicare work with Medicaid?

People who have both Medicare and full Medicaid coverage are “dually eligible.” Medicare pays first when you're a dual eligible and you get Medicare-covered services. Medicaid pays last, after Medicare and any other health insurance you have. If you're dually eligible, Medicare covers your prescription drugs.

For pdfFiller’s FAQs

What is Medicare-Medicaid Coordination Fact Sheet?

The Medicare-Medicaid Coordination Fact Sheet provides information about the coordination of benefits between Medicare and Medicaid for eligible individuals, detailing how these programs work together to provide healthcare coverage.

Who is required to file Medicare-Medicaid Coordination Fact Sheet?

Healthcare providers and organizations that serve individuals eligible for both Medicare and Medicaid are generally required to file the Medicare-Medicaid Coordination Fact Sheet.

How to fill out Medicare-Medicaid Coordination Fact Sheet?

To fill out the Medicare-Medicaid Coordination Fact Sheet, individuals should gather necessary information regarding the beneficiary's Medicare and Medicaid details, and follow the specified instructions laid out in the form, ensuring all sections are completed accurately.

What is the purpose of Medicare-Medicaid Coordination Fact Sheet?

The purpose of the Medicare-Medicaid Coordination Fact Sheet is to facilitate effective communication between Medicare and Medicaid programs to ensure proper coordination of benefits, reduce redundancies, and enhance care for dual eligible beneficiaries.

What information must be reported on Medicare-Medicaid Coordination Fact Sheet?

The information that must be reported includes the beneficiary's personal information, Medicare and Medicaid identification numbers, coverage details, and any other relevant data that helps in coordinating their healthcare services.