; and (2) by striking XIX and XXI and inserting XIX, XXI, and XXII . (b) Medicare enrollment Section 1851(a) of the Social Security Act ( 42 U.S.C. 1395w–21(a) ) is amended by adding at the end the following new paragraph: (4) Additional enrollment option for dual eligible individuals Dual eligible individuals (as defined in section 2201) may also be eligible to enroll in an integrated care plan under title XXII. . (c) Preventing duplicate payments under Medicaid Section 1903(i) of the Social Security Act ( 42 U.S.C. 1396b(i) ) is amended— (1) by striking or at the end of paragraph (26); (2) by striking the period at the end of paragraph (27) and inserting ; or ; (3) by inserting after paragraph (27) the following new paragraph: (28) with respect to any amount expended for medical assistance for a dual eligible individual (as defined in section 2201) enrolled in an integrated care plan under title XXII, except as specifically permitted under such title. ; and (4) in the third sentence, by striking , and (18) and inserting , (18), and (28) . II Improving Eligibility Determinations, Enrollment Processes, and Quality of Care for Dual Eligible Individuals 201. Identifying opportunities for State coordination with respect to eligibility determinations Not later than 1 year after the date of enactment of this Act, the Secretary of Health and Human Services, in consultation with States, shall— (1) review State processes for determining whether an individual is a full-benefit dual individual (as defined in section 1935(c)(6) of the Social Security Act ( 42 U.S.C. 1396u–5(c)(6) ) but without the application of subparagraph (A)(i) of such section) and whether an individual is eligible for the low-income subsidy program under section 1860D–14 of the Social Security Act ( 42 U.S.C. 1395w–114 ) and the Medicare Savings Program (as defined in section 1144(c)(7) of such Act ( 42 U.S.C. 1320b–14(c)(7) ))