Having both Medicare and Medicaid does not always meet all the needs of the older individual because of the different categories or levels of coverage for which a person is eligible. Practitioners and other providers will want to understand, at least at a high level, how complex these different categories or levels of coverage can be for older adults dually eligible for Medicare and Medicaid and their family. Providers will want to know to whom and where to refer older adults for assistance with understanding their benefits and obtaining needed services or goods, both covered and not covered by their insurance. They may also need to provide clinical consultation or written justification to assist older adults dually eligible for Medicare and Medicaid to become eligible for needed services. Download the corresponding assessment sheet as a Word or PDF document to track your progress.
Domain 6: Benefits and Resources
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