Overlapping Medicare and Medicaid Benefits

Medicare and Medicaid Nursing Facility Benefits: The Basics and Options for Improved Coordination and Quality

July 13, 2021

The webinar provides an overview of Medicare and Medicaid nursing facility benefits and payment methods, as well as options to improve coordination and quality of nursing facility benefits for dually eligible individuals in both fee-for-service and managed care systems.

Learning Objectives: By the end of this presentation, attendees are able to describe:

Medicare 201: Actions States Can Take to Improve Quality and Coordination of Care for Dually Eligible Individuals

03/25/2021

This is part two a two-part Integrated Care Resource Center (ICRC) Working with Medicare webinar on Medicare 201 held on March 25, 2021.

This webinar provides an overview of integrated care pathways, how states can work with D-SNPs to design supplemental benefits offerings, and steps that states can take to improve coordination of care for dually eligible populations. The webinar is especially helpful to state staff who are new to or seek a refresher on Medicare.

Medicare 101: An Introduction to Medicare Benefits and the Roles of Medicare and Medicaid in Serving Dually Eligible Individuals

03/22/2021

This is part one of a two-part Integrated Care Resource Center (ICRC) Working with Medicare webinar on Medicare 101, held on March 22, 2021.

This webinar provides an overview of Medicare benefits, how Medicare and Medicaid benefits overlap and interact for dually eligible individuals, and steps that states can take to improve care for vulnerable dually eligible populations. The webinar is especially helpful to state staff who are new to or seek a refresher on Medicare.

States’ Medicaid Fee-for-Service Durable Medical Equipment Payment Policies

To better inform analysis of existing policies and development of future policies that affect Medicaid payments, the Medicaid and CHIP Payment and Access Commission (MACPAC) released a compendium of each state’s fee-forservice DME policies along with a companion issue brief summarizing payment and coverage policies and issues.

Strategies to Support Dually Eligible Individuals’ Access to Durable Medical Equipment, Prosthetics, Orthotics, and Supplies

This Centers for Medicare & Medicaid Services (CMS) Informational Bulletin provides an additional strategy for states to support timely access to durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) for people dually eligible for Medicaid and Medicare. The Informational Bulletin clarifies that states do not need to require a Medicare denial for DMEPOS that Medicare routinely denies as non-covered under the Medicare DME benefit.