MIPPA IMPROVEMENTS for PATIENTS & PROVIDERS ACT ( MIPPA)
The Rhode Island Department of Elderly Affairs manages the Medicare Improvements for Patients and Providers Act of 2008 program under a grant from the
U.S. Department of Health and Human Services/Administration on Aging.
DEA collaborates with community partners to accomplish the goals of the MIPPA grant, including to Medicare beneficiaries who have limited income/resources and who may be eligible for prescription drug assistance through the “Low Income Subsidy (Extra Help)” Program, outreach to adults over age 65 and disabled adults under age 65 who are eligible to have all or part of the costs of Medicare Parts A and B premiums, deductibles, and
co-payments paid through the Medicare Premium Payment program
January 14, 2011
Options Counseling”-Medicare I mprovements for Patients and Providers Act (MIPPA)
Fact and Guidance Sheet for Benefit Specialists and Counselors
“Options Counseling”-The first and foremost approach to take with each consumer requesting i
nformation, assistance, and/or access to various services and programs, including MIPPA programs is “Options Counseling.”
Options Counseling is a process and technique that enables benefit specialists within statewide network agencies to determine the needs of a consumer, resulting in the provision of appropriate information, referral, and access to services, benefits, and programs.
“Options Counseling” provides consumers with comprehensive, “wrap-around” services and benefits and includes follow-up to ensure a successful outcome and program enrollment, when applicable. “Options counseling” is initiated with a consumer’s assessment of needs, which may be different from agency to agency, but will in each case, serve as a tool that will result in an identical outcome for each agency in determining consumers’ needs.
"Options Counseling” is obtainable for all consumers and their families through contact with RI’s Aging and Disability Resource Center, locally known as THE POINT, statewide Regional POINT agencies, the RI Department of Elderly Affairs, and numerous senior centers that receive funding specifically for Medicare Improvements for Patients and Providers Act (MIPPA) program assistance and the State Health Insurance Program (SHIP).
MIPPA assistance programs include the Low-Income Subsidy (LIS) program which provides eligible Medicare beneficiaries with generous discounts with Medicare Part D plan premiums and prescription co-pays, as well as elimination of the Medicare Part D plan’s deductible and/or “donut hole” (coverage gap) phases.
MIPPA also includes the Medicare Premium Program (MPP) which assists eligible Medicare beneficiaries with payment of the monthly premium for Medicare Part B through the Specified Low-Income Medicare Beneficiary (SLMB) program or the QI-1 program.
In certain circumstances, for extremely low-income Medicare beneficiaries, through the MIPPA program, the MPP will also assist eligible Medicare beneficiaries with payment of the Medicare Part B premium, as well as co-payments and deductibles through the Qualified
Medicare Beneficiary (QMB) program.
Medicare Improvements for Patients and Provider’s Act (MIPPA)