Easing the Part D Transition An Evaluation of Federal and State Efforts to Ensure Dual Eligibles and Other LowIncome Beneficiaries Maintain Prescription Drug Coverage

The 39;47 (39;47) anticipated problems transitioning drug coverage for dual eligible beneficiaries from Medicaid to Medicare when Medicare Part D was implemented in 2006. This report examines the administrative efficiency of the "Point-of-Sale Facilitated Enrollment" process and state-to-plan demonstrations, set up to facilitate the transition, by examining characteristics of beneficiaries in the two programs. It also looks at alternative approaches for ensuring continuity of drug coverage for dual-eligible and other low-income beneficiaries. In addition, the authors identify approaches 39;47 could take to collaborate with states on future endeavors.