Dual Eligibles Can Get Better Access to Physicians in 2013

 

Starting January 1, 2013, state Medicaid programs are required to pay certain physicians offering primary care services at rates that are no lower than Medicare rates. 

 

It is important for advocates to understand this change in order help clients access providers, advocate for more Medicaid providers and other important systemic fixes at the state level.

 

A federal match will cover 100% of the added costs.  This change, which implements a provision of the Affordable Care Act, affects primary care services by primary care physicians, internists, and nurse practitioners and physician assistants working under the direction of a physician.  The change affects all Medicaid beneficiaries

 

For dual eligibles (individuals qualifying for both Medicare and Medicaid), the change offers the hope of a significant improvement in provider access.  Coverage extends to a broad range of services and a number of important subspecialties used frequently by seniors and persons with disabilities. 

 

The National Senior Citizens Law Center has prepared an analysis to assist advocates in understanding  what is changing in 2013 and how the change will  impact  their dual eligible clients.   To see the detail...