CMS Approves California’s Dual-Eligible Plan, Nation’s Largest

Becker’s Hospital Review

Written by Jim McLaughlin | March 28, 2013

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CMS approved (pdf) California’s three-year plan to better coordinate coverage for 456,000 dual-eligible patients — who qualify for both Medicare and Medicaid due to their age, disability and income status — making it the largest of the now-five states green-lighted to insure such individuals with help from private plans.

Private insurers Health Net, Molina Healthcare and WellPoint will administer the policies for dual-eligibles.

A quarter of California’s Medicaid costs comes from dual-eligibles, even though they only make up about 14 percent of the state’s 1.1 million Medicaid beneficiaries.


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