Marketing and Member Materials

Integrating Dual Eligible Special Needs Plan Materials to Promote Enrollee Understanding of and Access to Benefits

Integrating Dual Eligible Special Needs Plan Materials to Promote Enrollee Understanding of and Access to Benefits

Dual Eligible Special Needs Plans (D-SNPs) that operate with exclusively aligned enrollment and cover Medicaid benefits through the D-SNP or an affiliated Medicaid managed care plan – classified as applicable integrated plans (AIPs) – can provide their enrollees with a single set of fully integrated materials that describe both the Medicare and Medicaid benefits covered by the D-SNP (and its affiliated Medicaid plan, when applicable).

Integrated Care Updates- July 2020

MedPAC Data Book on Medicare Spending

New ICRC Tools Help States Identify Dually Eligible Individuals and Aligned Enrollees

Want to Know More about the Dually Eligible Individuals in Your State? Request a State Data Profile

July 2020 Enrollment in Medicare-Medicaid Plans

July 2020 Enrollment in PACE Organizations

New Resources on the ICRC Website

Key Upcoming Dates

Contract Year 2021 Models for Applicable Integrated Plans: 'Letter about Your Right to Make a Fast Complaint' and 'Appeal Decision Letter'

This CMS memorandum describes the final Contract Year 2021 model notices for Dual Eligible Special Needs Plans that are applicable integrated plans, "Letter about Your Right to Make a Fast Complaint" and "Appeal Decision Letter", which are both available in English and Spanish language versions.

Spotlight: Comments Requested on Proposed “Applicable Integrated Plan Coverage Decision Letter”

CMS requests comments from, states and other stakeholders on proposed new Plan Coverage Decision Letter for use in 2021 by Dual Eligible Special Needs Plans (D-SNPs) with unified Medicare and Medicaid appeals and grievance procedures. Comments are requested by December 17, 2019.

CY 2019 MN MSHO Summary of Benefits (SB) model document

Tips to Improve Medicare-Medicaid Integration Using D-SNPs: Designing an Integrated Summary of Benefits Document

This tip sheet describes how states can start to improve member materials by using contractual requirements to ensure that Medicare and Medicaid benefit information for aligned plans is incorporated into a single, streamlined Summary of Benefits (SB) document.

Integrated Marketing Rules and Practices for Medicare and Medicaid Managed Care

October-14

This presentation provides an overview of the major differences between Medicare and Medicaid marketing requirements and opportunities for better alignment, and it also offers lessons from MassHealth's roll out of Massachusetts' integrated marketing process.