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States seeking to integrate Medicare and Medicaid services for dually eligible beneficiaries need to consider a variety of issues in program design and implementation such as incorporating behavioral health and long-term services and supports, consumers and providers engagement, and linking Medicare and Medicaid data. Use the filter below to view resources related to these and other topics.

Displaying 1 - 14 of 14

Other Resource | March 2023
Key 2023 Medicare Advantage Dates
This calendar of key Medicare Advantage (MA) dates was developed to assist states and health plans in the implementation of integrated care programs for people dually eligible for Medicare and Medicaid. For a complete list of MA and Part D… (Integrated Care Resource Center)
Tip Sheet, Other Resource | April 2022
Dually Eligible Individuals: The Basics
ICRC has developed a basic fact sheet on individuals who are dually eligible for Medicare and Medicaid. (Integrated Care Resource Center)
Other Resource | August 2020
Medicare Enrollment Periods and Special Election Periods for Dually Eligible Individuals: Reference Tables
This technical assistance tool provides tables describing both general and special election periods relevant to the enrollment of dually eligible indiviuals in drug management programs into Medicare Advantage plans, including Medicare--Medicaid… (Integrated Care Resource Center)
Other Resource | September 2017
Key Medicare Advantage Dates and Action Items for States Contracting with Dual Eligible Special Needs Plans
This calendar of key Medicare Advantage dates describes program milestones by month and explains what activities state Medicaid agencies may want to undertake to prepare for or respond to a particular Medicare Advantage event. (Integrated Care Resource Center)
Other Resource | June 2017
Los Angeles & Orange County Cal MediConnect Plans Pilot Projects to Reduce Avoidable Hospitalizations for Nursing Facility Residents
This blog describes pilot projects recently launched by six Cal MediConnect plans in Los Angeles and Orange County that will test interventions to reduce avoidable hospitalizations and other adverse events for nursing facility residents. (California Department of Health Care Services)
Other Resource | May 2017
Self-Direction of Home- and Community-Based Services: A Training Curriculum for Case Managers
The ability to direct and manage their own services and supports is important to many individuals who need the home- and community-based services (HCBS) provided through state Medicaid programs. These self-directed models may also be known as "… (Integrated Care Resource Center)
Other Resource | April 2017
Identifying Newly Eligible Medicare-Medicaid Individuals for Enrollment in Capitated Financial Alignment Demonstrations: Frequently Asked Questions (FAQs)
This document answers questions that states have asked about improving the processes they use to regularly identify prospective Medicare-Medicaid individuals for potential enrollment into their capitated financial alignment demonstrations. (Integrated Care Resource Center)
Other Resource | March 2016
Technical Notes on a Microsoft Access Tool for Prioritizing the Daily Transaction Record Report
This document describes a Microsoft Access tool to prioritize information in the MARx system Daily Transaction Reply Report, and it explains states can use it to improve the timeliness and efficiency of their demonstration enrollment processes. (Integrated Care Resource Center)
Other Resource | February 2015
Cal MediConnect Explained: Enrollment Options and Resources with Jane Ogle
This video for potential Cal MediConnect enrollees shows what the passive enrollment letters and envelopes look like, guides beneficiaries through their enrollment options, explains integrated care, benefit of care coordinators care teams, and the… (California Department of Health Care Services)
Other Resource | September 2014
Stakeholder Engagement Initiative
This webpage describes an initiative to redesign California's Medi-Cal stakeholder engagement process, including an online survey of stakeholders. (California Department of Health Care Services)
Other Resource | May 2014
Medicare Advantage D-SNP Contract Oversight and Quality Monitoring
This document summarizes a telephone discussion among states, CMS, the National Association of Medicaid Directors, and ICRC about Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) contract oversight and quality monitoring procedures. (Integrated Care Resource Center)
Other Resource | January 2014
Medicare Advantage Network Adequacy Requirements, D-SNPs, and State Contracting Options
This document summarizes a telephone discussion among states, CMS, the National Association of Medicaid Directors, and ICRC regarding Medicare Advantage network adequacy requirements and their application to D-SNPs. (Integrated Care Resource Center)
Other Resource | September 2012
California's Duals Demonstration: A Transparent and Inclusive Stakeholder Process
This presentation describes California's current stakeholder engagement process, plans for on-going advisory groups, and ways to solicit on-going feedback. (California Department of Health Care Services)
Other Resource
California State Website
The CalDuals website provides information on Cal MediConnect -- the capitated model Financial Alignment Initiative in California. (California Department of Health Care Services)