Medicare Improvements for Patients and Providers Act (MIPPA)
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Medicare Improvements for Patients and Providers Act (MIPPA)

More on MIPPA

See what activities are planned for FY14 in our new publication, MIPPA at a Glance.

Under the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA), states, territories, and the District of Columbia received funding to help Medicare beneficiaries apply for the Medicare Part D Extra Help/Low-Income Subsidy (LIS) and the Medicare Savings Programs (MSPs). Funding is also used to provide Part D counseling to Medicare beneficiaries who live in rural areas, and to promote the new Medicare prevention and wellness benefits. MIPPA grants are administered by the U.S. Administration for Community Living and the Centers for Medicare & Medicaid Services.

Since 2009, MIPPA grantees have submitted more than 690,000 LIS and MSP applications for a total value of benefits of over $1.9 billion. Read more about the results of the first two MIPPA grants to states in our latest report and access a recording of our April 2013 webinar, MIPPA--What We've Learned and What Happens Next.

MIPPA 3 Funding, Guidance, and Reporting

The American Taxpayer Relief Act passed in January 2013 reauthorized funding for MIPPA activities for an additional year. States received funds to continue their outreach and enrollment activities beginning Sept. 30, 2013. NCOA's Center for Benefits Access was also awarded a grant to continue to serve as the MIPPA technical resource center.

In December 2013, Congress passed a budget agreement that included additional funding for low-income benefits outreach and enrollment activities for MIPPA grantees to spend in FY14. The $12.5 million in additional MIPPA funding includes:

  • $3.75 million each for Area Agencies on Aging and State Health Insurance Assistance Programs.
  • $2.5 million for Aging and Disability Resource Centers.
  • $2.5 million to contract with NCOA’s Center for Benefits Access for ongoing technical assistance to grantees.

In addition, the sustainable growth rate (SGR, also known as “doc fix”) bill passed by the Senate Finance Committee in mid-December includes a provision to permanently appropriate current level funding ($25 million each fiscal year) for low-income outreach and assistance activities under MIPPA. We'll update this page with additional information as it becomes available.

NCOA hosted a webinar on the reporting guidelines for MIPPA 3 on Nov. 20, 2013. Access the webinar recording and download the slides.

Center staff updated the guidance document on MIPPA 3 following conversations with CMS and ACL. Download the MIPPA 3 Guidance and Reporting FAQs.

NCOA’s Role

The Center for Benefits Access at NCOA serves as the resource center for MIPPA grantees. The Center provides training, collects data, and disseminates information and best practices to grantees.


Our national map provides examples of success from across the country, as well as downloadable fact sheets on the achievements of each MIPPA state.

MIPPA Successes

Want to know more about what states have accomplished using MIPPA funds? Read our report MIPPA—Three Years On and check out these success stories:

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