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Revisions to the Manual for the State Payment of Medicare Premiums

The Manual for the State Payment of Medicare Premiums (formerly called “State Buy-in Manual”) provides information and instructions to states on federal policy, operations, and systems concerning the payment of Parts A and B premiums (or “buy-in”) for individuals dually eligible for Medicare and Medicaid. CMS has revised policy instructions in chapter one of the manual to reflect recent changes in regulations. CMS will revise chapters of the manual containing operations and systems instructions at a future date.

Download the Guidance Document


Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: February 09, 2024

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.