U.S. Medicare and Medicaid Coverage Arrangements for Dual-Eligible Individuals
Medicare & Medicaid coverage arrangements, number of Medicaid delivery systems, & use of Medicaid wraparound services
Summary of Coverage Arrangements
Distribution of Full-Benefit Dual-Eligible Individuals by Medicare and Medicaid Coverage Arrangements, 2021
Single plan includes Medicare-Medicaid Plans (MMPs) and the Program of All-Inclusive Care for the Elderly (PACE). Medicaid FFS is fee-for-service. Medicaid managed care includes managed medical or long-term care coverage but not other types (such as behavioral health plans). Only the coverage arrangements or programs that were available in the state as of March of the reporting year are displayed. Totals may not equal 100% due to data suppression and rounding.
Coverage arrangement categories are mutually exclusive. See The Landscape of Medicare and Medicaid Coverage Arrangements for Dual-Eligible Individuals Across States for details on how the Medicare/Medicaid coverage arrangements are defined.
Distribution of Full-Benefit Dual-Eligible Individuals by Medicare Coverage Arrangements, 2021
Single plan includes Medicare-Medicaid Plans (MMPs) and the Program of All-Inclusive Care for the Elderly (PACE). Coverage arrangement categories are mutually exclusive and reflect enrollment in March. Totals may not equal 100% due to data suppression and rounding.
See The Landscape of Medicare and Medicaid Coverage Arrangements for Dual-Eligible Individuals Across States and the definitions on the bottom of the page for more details on Medicare and Medicaid coverage arrangements.
Distribution of Full-Benefit Dual-Eligible Individuals by Number of Medicaid Service Delivery Systems, 2021
NSD indicates not sufficient data (cells representing fewer than 50 enrollees). National totals exclude Alabama, Arkansas, and Idaho due to data quality issues in those states.
Delivery system categories are mutually exclusive. See The Landscape of Medicare and Medicaid Coverage Arrangements for Dual-Eligible Individuals Across States for details on how the delivery systems are defined and counted.
Number of Full-Benefit Dual-Eligible Individuals Using Medicaid Wraparound Services, 2021
LTC represents long-term care. Home care is also known as home- and community-based services or HCBS. Analysis includes dual-eligible individuals with at least 10 months of full Medicaid benefits. Due to data quality issues in 2021, Mississippi data are sourced from 2019 T-MSIS data. Due to data suppression and rounding, subgroup estimates may not sum to the total.
This work was supported in part by Arnold Ventures. KFF maintains full editorial control over all of its policy analysis, polling, and journalism activities.