Helping states develop integrated programs for individuals who are dually eligible for Medicare and Medicaid
State Contracting Strategies
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.
State Perspectives on Contracting with Dual Eligible Special Needs Plan
February-15
This presentation highlights the ICRC technical assistance tool State Contracting with Medicare Advantage Dual Eligible Special Needs Plans: Issues and Options and features a moderated panel discussion among representatives of three states (Minnesota, New Jersey, and Tennessee) with a wide range of experience in contracting with D-SNPs.
Medicare Advantage Network Adequacy Requirements, D-SNPs, and State Contracting Options
January-14
This document summarizes a discussion among states, Centers for Medicare & Medicaid Services, the National Association of Medicaid Directors, and ICRC regarding Medicare Advantage network adequacy requirements and their application to Dual Eligible Special Needs Plans.
Medicare Advantage D-SNP Contract Oversight and Quality Monitoring
May-14
This webinar summarizes a discussion among states, the Centers for Medicare & Medicaid Services, the National Association of Medicaid Directors, and ICRC about Medicare Advantage Dual Eligible Special Needs Plan contract oversight and quality monitoring procedures.
Tips to Improve Medicare-Medicaid Integration Using D-SNPs: Promoting Aligned Enrollment
This tip sheet outlines tips for promoting aligned enrollment in states looking to integrate care for dually eligible beneficiaries using contracting strategies that maximize the opportunity for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPs) and Medicaid managed care (MMC) plans. With aligned enrollment, the beneficiary is enrolled in a D-SNP and MMC offered by the same parent company in the same geographic area (aligned plans).
State and Health Plan Strategies to Grow Enrollment in Integrated Managed Care Plans for Dually Eligible Beneficiaries
This brief outlines a variety of actions that states and health plans can take to support enrollment growth in integrated care programs.