Medicare Improvements for Patients and Providers Act

Medicare Improvements for Patients and Providers Act  (MIPPA)

Overview of MIPPA

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On July 15, 2008, Congress enacted the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA), Pub. Law 110-275. MIPPA is a multi-faceted piece of legislation containing several important provisions that directly changed the Medicare program and allocated federal funding (through Section 119) for State Health Insurance Assistance Programs (SHIPs), Area Agencies on Aging (AAAs), Aging and Disability Resource Centers (ADRCs), and to a technical resource center, which is run by the National Council on Aging (NCOA), to provide outreach to low-income Medicare beneficiaries to increase enrollment in Medicare low-income assistance programs. One major goal of MIPPA is the continued improvement of Medicare access and affordability for low-income beneficiaries.

All states are allocated funding based on a formula that takes into account each state’s Medicare population. The most current MIPPA reauthorization comes from a large Omnibus spending package that Congress passed and the President signed at the end of 2020. This included a three-year extension of MIPPA, through 2024.

ADvancing States’ Work to Further MIPPA Outreach 


COVID-19 is a long-lasting and complex disaster situation involving a public health emergency and an economic crisis, with particularly acute impacts for older adults, people with disabilities, and others with certain health conditions. States are responding with changes in policies and procedures to ensure individuals have access to public benefit programs (e.g. Medicare Savings Programs, LIS/Extra Help, SNAP, and LIHEAP). During the COVID-19 crisis, ADvancing States is working with our state membership to identify changes that states have made to their systems for connecting individuals to benefits and to explore options, developments, and challenges in responding to the COVID-19 pandemic. The following resources have been developed in response to COVID-19:

Outreach Tools

Making Connections with the Disability Community

In collaboration with national stakeholders in the aging and disability networks and with feedback from local Centers for Independent Living, ADvancing States has developed and disseminated outreach materials to promote Medicare low-income subsidies to beneficiaries with disabilities.

These outreach materials include posters to educate Medicare beneficiaries with disabilities about low-income subsidies. The posters include an editable space wherein outreach professionals may add contact information for their preferred referral source. The posters are available here:

Media Campaign

ADvancing States developed a call for collaboration media campaign intended to educate and ultimately enroll more people in the Medicare Low-Income Subsidy programs. ADvancing States partnered with national and state disability organizations to reach people with one or more impairments that qualify for disability benefits.

An overview of resources for outreach and creative ways to publicize information for consumers used in the campaign is available here.


ADvancing States has a series of infographics that are widely used by state members and the aging and disability networks for outreach and education purposes. The newest infographic in the series provides information on coverage and costs for low-income Medicare beneficiaries. The infographic describes people on Medicare, financial needs among beneficiaries, programs supporting low-income beneficiaries, and ways to improve access. Click here to access the infographic. Contact ADvancing States if you would like hard copies.

Promising Practices

Identifying and Disseminating Promising Practices for MIPPA Outreach

ADvancing States collaborates with several national stakeholders in the Aging and Disability Networks to gather information about local-level MIPPA outreach from the I&R Network, ADRCs, AAAs and CILs. Based on information gathered, ADvancing States develops educational materials highlighting promising practices in MIPPA outreach. The MIPPA initiative also collaborates with the I&R Center at ADvancing States to gather data about the role of aging and disability agencies and I&R/A professionals in benefits education and outreach.

Promising Practice Profiles:

Practices Across the Country:

Innovations in Benefits Outreach National Contest:
In 2019, ADvancing States and NCOA hosted and Innovations in Benefits Outreach National Contest to identity promising practices in benefits outreach to older adults and persons with disabilities. The New Jersey Department of Human Services, Division of Aging Services and Feeding the Gulf Coast were awarded for their promising practices. View the video interviews below to learn more about their practices to reach more individuals potentially eligible for benefits such as the Medicare low-income subsidies, SNAP, and LIHEAP.


ADvancing States IQ is our online learning center that offers free educational courses on topics related to the aging and disabilities networks. Two courses are available related to benefits access and enrollment.

The Role of MIPPA: Helping Older Adults and Individuals with Disabilities Afford Medicare provides participants with information about MIPPA, the Medicare program, and the Medicare low-income subsidies. The module also provides key referral resources for additional program information and enrollment assistance.

Benefits Outreach and Enrollment for Older Adults and Persons with Disabilities: The Role of State and Local Organizations describes the role of state and local practices in benefits outreach and enrollment for older adults and individuals with disabilities. This course provides the opportunity for participants to learn about core benefit programs and challenges to accessing benefits. This course also describes sources of information trusted by older adults and persons with disabilities and identifies effective outreach strategies using those information channels. Additionally, participants will learn about state and local practices for ensuring individuals are connected to potential benefits, as well as opportunities to adjust benefits outreach and enrollment during crises and emergencies.

To access these ADvancing States IQ courses, please visit