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The DUALS Act of 2024 establishes a federal framework for states to create integrated care programs serving individuals eligible for both Medicare and Medicaid (dual eligible individuals). The bill requires states to select from federally published program models and implement them within four years, with passive enrollment of eligible individuals (who may opt out) and requirements for care coordination, provider networks, and data reporting. It also includes provisions to streamline enrollment processes, expand the PACE program, and align billing codes across Medicare and Medicaid.
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