Dual Eligibles are individuals who qualify for both Medicare and Medicaid. Dual eligibles are historically a complex population with multiple health and social support needs. 28% of dual eligibles have depression, compared with 12% of Medicare-only enrollees; and 7.66% have schizophrenia, compared with 0.47% of Medicare-only enrollees. Additionally, the cost of providing care to dual eligibles is much higher than the general Medicare and Medicaid population.
Due to this complexity, state Medicaid programs provided services to the dual eligible population through the fee-for-system in the past. More recently, however, states have started to enroll . . .