Medicare Improvements for Patients and Providers Act

Medicare Improvement for Patients and Providers Act  (MIPPA)

Overview of MIPPA

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On July 15, 2008, Congress enacted the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA), Pub. Law 110-275. MIPPA is a multi-faceted piece of legislation containing several important provisions that directly changed the Medicare program (detailed below) and allocated federal funding (through Section 119) for State Health Insurance Assistance Programs (SHIPs), Area Agencies on Aging (AAAs), and Aging and Disability Resource Centers (ADRCs) to provide outreach to low-income Medicare beneficiaries to increase enrollment in Medicare low-income assistance programs.

On March 23, 2010, Congress enacted the Patient Protection and Affordable Care Act (Affordable Care Act), Pub. Law 111-148, authorizing a second round of federal MIPPA funding under Section 119 of the Medicare Improvements for Patients and Providers Act of 2008.

On January 2, 2013, Congress enacted the American Taxpayer Relief Act of 2012, Pub. Law 112-240, authorizing a third round of federal MIPPA funding under Section 119 of the Medicare Improvements for Patients and Providers Act of 2008.

On April 1, 2014, Congress enacted the Protecting Access to Medicare Act of 2014, Pub. Law 113-93, authorizing a fourth round of federal MIPPA funding under Section 119 of the Medicare Improvements for Patients and Providers Act of 2008.

NASUAD’s Work to Further MIPPA Outreach 

2016 MIPPA Grant Project

The National Council on Aging (NCOA) awarded NASUAD an additional MIPPA sub-grant. In 2016, NASUAD developed a call for collaboration media campaign intended to educate and ultimately enroll more people in Medicare subsidy programs, namely the Medicare Savings Program (MSPs) and the Medicare Part D Extra Help/Low-Income Subsidy program. NASUAD partnered with national and state disability organizations to reach people with one or more of the impairments that qualify individuals for SSI. Information about the campaign is available here: Call for Collaboration Fact Sheet

For additional information or assistance, contact Rachel Feldman, rfeldman@nausad.org

2015 MIPPA Grant Project

The National Council on Aging (NCOA) awarded NASUAD an additional MIPPA sub-grant made available through the fourth round of federal MIPPA funding. In 2015, NASUAD worked to identify and disseminate promising practices for MIPPA outreach at the local level. In furtherance of these goals, NASUAD collaborated with several national stakeholders in the Aging and Disabilities Network to gather information about local-level MIPPA outreach efforts; subsequently, NASUAD developed and disseminated educational and training materials highlighting promising practices in MIPPA outreach.The tip sheets are available in PDF form here: External Promising Practices Tip Sheet, Internal Promising Practices Tip Sheet.

2014 MIPPA Grant Project

In 2014, NCOA awarded NASUAD a MIPPA sub-grant made available through the third round of federal MIPPA funding. In collaboration with national stakeholders in the aging and disabilities network and with feedback from local Centers on Independent Living, NASUAD developed and disseminated outreach materials to promote Medicare low-income subsidies to beneficiaries with disabilities. These outreach materials included posters to educate Medicare beneficiaries with disabilities about low-income subsidies and a Tip Sheet for outreach professionals to use as a quick reference tool about Medicare low-income subsidies and referral resources. The posters include an editable space wherein outreach professionals may add contact information for their preferred referral source. The posters and Tip Sheet are available as 508 Standards Compliant PDFs here: Poster 1Poster 2Poster 3Tip Sheet

MIPPA Legislation 

The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) brought important improvements to the Medicare system. MIPPA is a complicated piece of legislation, running over 275 pages. Not all provisions are discussed on our MIPPA Legislation page; rather, the brief overview aims to discuss pertinent areas that are of particular importance to states and low-income beneficiaries. Topics included are:

  1. Changes affecting beneficiaries with limited incomes and resources
  2. Medicare Advantage Changes
  3. Medigap changes
  4. Changes to Therapy and Psychiatric costs and coverage caps