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. Author manuscript; available in PMC: 2024 Oct 1.
Published in final edited form as: J Am Med Dir Assoc. 2023 Sep 9;24(10):1565–1572. doi: 10.1016/j.jamda.2023.08.007

Table 1:

Key words and definitions

Medicare Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities and people with End-Stage Renal Disease.
Medicaid Medicaid allows for health insurance coverage through several vehicles and over a continuum of settings, ranging from institutional care to community-based long-term services and supports (LTSS).
Dual eligibles (DEs) People who receive Medicare (based on age or disability) who are also low income and thus eligible for Medicaid
Full dual eligibles The 73% of dual eligibles who meet criteria for both Medicare and Medicaid services and can receive the full range of Medicaid benefits such as long terms services and supports
Partial dual eligibles Partial dual eligibles are low income individuals who are not otherwise eligible for full benefit Medicaid where Medicaid pays their Part A and if needed Part B Medicare premiums
Home and community-based services (HCBS) HCBS provide opportunities for Medicaid beneficiaries to receive services in their own home or community rather than institutions or other isolated settings.