Helping states develop integrated programs for individuals who are dually eligible for Medicare and Medicaid
This website provides information on the Medicare-Medicaid Alignment Initiative -- the capitated model Financial Alignment Initiative in Illinois.
The CalDuals website provides information on Cal MediConnect -- the capitated model Financial Alignment Initiative in California.
These documents, including California's proposal, three-way contract, readiness review tool, and evaluation design plan, are posted on the Medicare-Medicaid Coordination Office's website.
This webinar provides CMS' and MassHealth's perspectives on the challenges and successes of the three-way contracting process in Massachusetts, including discussion of managing timeframes and interacting with health plans.
This webinar reviews the structure of the three-way contract, discusses the interplay between the contract and other demonstration documents, and describes the contract development and review processes.
This presentation introduces state enrollment staff to a tool to help prioritize transaction reply codes and simplify enrollment reconciliation.
This webinar describes the retroactive submission process, including how to use CMS' Electronic Retroactive Processing Transmission (eRPT) application to transmit enrollment transactions to the Retroactive Processing Contractor.
This webinar describes an opportunity identify prospective Medicare-Medicaid enrollees for enrollment into capitated financial alignment demonstrations and provides perspectives from Massachusetts and Michigan on states' use of this process. Related Resource
This webinar discusses strategies to increase and sustain enrollment into Medicare-Medicaid Plans, including on-going passive enrollment of newly dually eligible individuals and deeming and rapid-re-enrollment strategies to retain coverage for short-term loss of Medicaid.
This webinar features state experiences using data-driven strategies to analyze opt-outs and engage beneficiaries and providers in financial alignment demonstrations.