This document discusses Medicare's role in providing coverage for beneficiaries who are also eligible for Medicaid, known as dual-eligible beneficiaries. It explores the issues these individuals face in receiving coverage from both programs, and how this impacts both the recipients and providers. Key challenges include lack of coordination between Medicare and Medicaid rules and coverage, leading to confusion and access issues for dual-eligible beneficiaries. Providers also face increased administrative burdens from dealing with both programs.