Beginning January 1, 2027, states generally must condition Medicaid eligibility for certain adults on meeting new community engagement requirements. The policy is commonly described as a Medicaid work requirement, but its implications extend well beyond employment.
pproximately 13 million people are enrolled in both Medicare and Medicaid. They rely on Medicare primarily for acute medical care and on Medicaid for benefits Medicare does not fully provide, including LTSS
pproximately 13 million people are enrolled in both Medicare and Medicaid. They rely on Medicare primarily for acute medical care and on Medicaid for benefits Medicare does not fully provide, including LTSS
For years, long-term services and supports (LTSS) providers have operated primarily as Medicaid service providers. That model is beginning to change
For years, long-term services and supports (LTSS) providers have operated primarily as Medicaid service providers. That model is beginning to change
For aging and disability advocates, integration is not a technical policy debate—it is a prerequisite for dignity, independence, and survival in the community. As the population of individuals dually eligible for Medicare and Medicaid (“duals”) continues to grow, fragmented systems are increasingly misaligned with the realities of aging, disability, and chronic need.
While long-term services and supports (LTSS) for older adults often dominate discussions in dual-eligible policy, equally urgent conversation is taking shape around individuals with intellectual and developmental disabilities (IDD)
As we move through 2025, the evolving landscape of Long-Term Services and Supports (LTSS) policy demands urgent attention.
Emphasis on Prevention and Personal Empowerment: The strategy focuses on
Dual-eligible beneficiaries—individuals who qualify for both Medicare and Medicaid—represent one of the most complex patient populations in the U.S. healthcare system. They often have multiple chronic conditions, disabilities, and social determinants of health (SDOH) that make coordinating their care a significant challenge.
A study conducted by researchers from William & Mary, Virginia
A new Medicaid contract change in Idaho raises concerns about
Molina Healthcare has secured a significant contract from the Illinois
Individuals who qualify for both Medicare and Medicaid are termed
Dual-eligible beneficiaries—12.5 million Americans qualifying for both Medicare and Medicaid—represent a vulnerable population with complex healthcare needs, accounting for disproportionate healthcare spending and facing significant challenges in care coordination and access to comprehensive, integrated health services.
The State Overviews section of Medicaid.gov provides comprehensive, state-specific information
Integrating care across provider types is essential for improving outcomes
The 2025 State Legislation on Health Care Payment and Delivery
The State Medicaid Integration Tracker, published by Advancing States, is
As of February 2025, several developments are influencing the dual-eligible
As of February 2025, several legislative developments have impacted dual-eligible
The MLTSS Association and SNP Alliance have collaborated to develop state scenario slides analyzing how the CY 2025 Medicare Advantage and Part D Final Rule could impact D-SNPs and state programs
In Florida, the integration of care for individuals eligible for
In Pennsylvania, the integration of care for individuals eligible for
The MLTSS Association and SNP Alliance have collaborated to develop state scenario slides analyzing how the CY 2025 Medicare Advantage and Part D Final Rule could impact D-SNPs and state programs
The MLTSS Association and SNP Alliance have collaborated to develop state scenario slides analyzing how the CY 2025 Medicare Advantage and Part D Final Rule could impact D-SNPs and state programs
Dual-eligible programs serve a critical role in the healthcare system, providing integrated care for individuals who qualify for both Medicare and Medicaid. These individuals often face complex medical needs and financial challenges, yet the existing systems can be fragmented, leading to poor health outcomes.
The MLTSS Association and SNP Alliance have collaborated to develop state scenario slides analyzing how the CY 2025 Medicare Advantage and Part D Final Rule could impact D-SNPs and state programs
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