Due Process in Duals Demonstrations: A Closer Look at New York

Executive Summary

New York is one of several states working to better integrate care and services for individuals dually eligible for Medicare and Medicaid through a duals demonstration. In addition to integrating care, New York is working to integrate the Medicare and Medicaid appeals processes for individuals participating in its duals demonstration. This issue brief analyzes New York’s integrated appeals process and examines the effects of integration on enrollees’ due process rights.