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    ​Medicare Improvements for Patients and Providers Act (MIPPA)

    The Department of Human Services (DHS) leverages MIPPA to improve care coordination between Medicare and Medicaid for better health outcomes and a more seamless experience for individuals who are eligible for both Medicare and Medicaid and choose to enroll in Dual-Eligible Special Needs Plans (D-SNPs).

    2026 MIPPA Agreement

    View the 2026 Final MIPPA Agreement

    Dual eligibles are individuals who are eligible for both Medicare and Medicaid. Dual Eligible Special Needs Plans (D-SNPs) are a type of Medicare managed care plan that can only enroll dual eligibles. The Medicare Improvements for Patients and Providers Act (MIPPA) of 2008 requires D-SNPs to obtain contracts with the State Medicaid Agency to improve the integration of Medicare and Medicaid benefits for dual eligibles. This includes those dual eligibles that choose a companion D-SNP offered by one of the managed care organizations (MCOs) operating in the Community HealthChoices (CHC) program.

    Do you have questions or comments about MIPPA?

    Email MIPPA

    Pennsylvania's Dual Eligible Special Needs Plans

    Keystone First
    UMPC Community HealthChoices