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Code · BILL · 118th Congress · S. 3950 (Introduced in Senate) — To provide States with support to establish integrated care programs for individuals who are dually eligible for Medi... · Sec. 210

Sec. 210. CMMI testing of coverage of partial benefit dual eligible individuals through State Integrated Care Programs

153 words·~1 min read·/bill/118/s/3950/is/section-210·

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Section 1115A of the Social Security Act ( 42 U.S.C. 1315a ) is amended— in subsection (b)(2)(A), by adding at the end the following new sentence: The models selected under this subparagraph shall include the testing of the model described in subsection (h)(1). ; and by adding at the end the following new subsection: The model described in this paragraph is a model under which States may offer coverage to partial benefit dual eligible individuals through partially integrated care plans under State Integrated Care Programs established under title XXII.
For purposes of this subsection, the term partial benefit dual eligible individual means an individual who— is eligible for the low-income subsidy program under section 1860D–14, the Medicare Savings Program (as defined in section 1144(c)(7)), or both; and is not a full-benefit dual eligible individual (as such term is defined in section 1935(c)(6), but without the application of subparagraph (A)(i) of such section). .
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Sec. 210
CMMI testing of coverage of partial benefit dual eligible individuals through State Integrated Care Programs
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