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OUTREACH EFFORTS TO INCREASE AWARENESS OF THE AVAILABILITY OF MEDICARE COST–SHARING AND SUBSIDIES FOR LOW-INCOME INDIVIDUALS UNDER TITLE XVIII

Sec1144[42 U.S.C. 1320b–14] (a) Outreach.—

(1) In general.—The Commissioner of Social Security (in this section referred to as the “Commissioner”) shall conduct outreach efforts to—

(A) identify individuals entitled to benefits under the medicare program under title XVIII who may be eligible for medical assistance for payment of the cost of medicare cost–sharing under the medicaid program pursuant to sections 1902(a)(10)(E) and 1933 for the transitional assistance under section 1869D-31(f), or for premium and cost-sharing subsidies under section 1860D-14; and

(B) notify such individuals of the availability of such medical assistance program, and subsidies under such sections.

(2) Content of notice.—Any notice furnished under paragraph (1) shall state that eligibility for medicare cost–sharing assistance, the transitional assistance under section 1860D-31(f), or premium and cost-sharing subsidies under section 1860D-14 under such sections is conditioned upon—

(A) the individual providing to the State information about income and resources (in the case of an individual residing in a State that imposes an assets test for eligibility for medicare cost-sharing under the medicaid program); and

(B) meeting the applicable eligibility criteria.

(b) Coordination With States.—

(1) In general.—In conducting the outreach efforts under this section, the Commissioner shall—

(A) furnish the agency of each State responsible for the administration of the medicaid program and any other appropriate State agency with information consisting of the name and address of individuals residing in the State that the Commissioner determines may be eligible for medical assistance for payment of the cost of medicare cost-sharing under the medicaid program pursuant to sections 1902(a)(10)(E) and 1933, for transitional assistance under section 1860D-31(f), or for premium and cost-sharing subsidies for low-income individuals under section 1860D-14; and

(B) update any such information not less frequently than once per year.

(2) Information in periodic updates.—The periodic updates described in paragraph (1)(B) shall include information on individuals who are or may be eligible for the medical assistance, program, and subsidies described in paragraph (1)(A) because such individuals have experienced reductions in benefits under title II.

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Last reviewed or modified Friday Oct 31, 2008

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