Medicare and Medicaid: Implementing State Demonstrations for Dual Eligibles Has Proven Challenging

Pursuant to a congressional request, GAO reviewed states' initiatives to enroll dual eligibles (beneficiaries who qualify for both Medicare and Medicaid benefits) into one managed care plan, focusing on: (1) the status and key features of state initiatives focusing on: (1) the status and key features of state initiatives to integrate care for dual-eligible beneficiaries; and (2) factors that have contributed to the length of the waiver negotiation process and implementation time frames.