MIPPA and Native American Tribes
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MIPPA and Native American Tribes

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Understand MIPPA

Get more background information about the Medicare Improvements for Patients and Providers Act (MIPPA).

Since 2009, the Medicare Improvements for Patients and Providers Act (MIPPA) has supported efforts to reach out to and enroll low-income people with Medicare into benefits that make Medicare affordable. In addition to grants to State Health Insurance Assistance Programs (SHIPs), Area Agencies on Aging (AAAs), and Aging and Disability Resource Centers (ADRCs), small grants are also offered to Native American/Alaskan Native Tribes to also do outreach to tribal populations.

Native populations have special considerations when it comes to qualifying to receive the Part D Low Income Subsidy (LIS/Extra Help) and Medicare Savings Programs (MSPs). Certain distributions and payments made to individual Native Americans or Tribes are exempt from income and asset requirements for these programs.

The fact sheets below have been designed specifically for benefits counselors to use with Native Americans/Alaskan Natives in their states. Each fact sheet includes 2014 eligibility criteria for LIS and MSP, including state-specific variations from the federal threshold limits (e.g., some states have eliminated asset tests for MSP).

Spot any discrepancies on these fact sheets? Email us and let us know! You are also welcome to download a generic version of this fact sheet in MS Word to tailor to your state's needs.

To learn more about Tribal MIPPA, visit the web page of the Office of American Indian, Alaska Native and Native Hawaiian Programs at the Administration for Community Living (formerly the Administration on Aging).

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