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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 - 11 of 11

Other Resource | July 2019
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… (Medicaid and CHIP Payment and Access Commission)
Other Resource | March 2019
Care Coordination in Integrated Care Programs Serving Dually Eligible Beneficiaries – Health Plan Standards, Challenges and Evolving Approaches
This MACPAC report reviews and analyzes care coordination requirements in the managed care organization contracts of nine states participating in demonstrations under the Financial Alignment Initiative, 10 states that contract with Fully Integrated… (Medicaid and CHIP Payment and Access Commission)
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 | March 2016
Report to Congress on Medicaid and CHIP - Chapter 4: Integration of Behavioral and Physical Health Services in Medicaid
This chapter discusses the approaches used by the Financial Alignment Initiative demonstrations, Medicare Advantage Dual Eligible Special Needs Plans, and the Program of All-inclusive Care for the Elderly to integrate behavioral health and physical… (Medicaid and CHIP Payment and Access Commission)
Brief | September 2015
Financial Alignment Initiative for Beneficiaries Dually Eligible for Medicaid and Medicare
This brief describes the design of the Financial Alignment Initiative and compares key provisions of the 10 capitated model demonstrations. Separate fact sheets are available on each of the 10 demonstrations. (Medicaid and CHIP Payment and Access Commission)
Other Resource | May 2015
Experiences with Financial Alignment Initiative Demonstration Projects in Three States: Feedback from Enrollees in California, Massachusetts, and Ohio
This report describes beneficiary experiences with enrollment processes, communication about the model of care, and understanding of care coordination services under the capitated model financial alignment demonstrations. (Medicaid and CHIP Payment and Access Commission)
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)
March 2013
Issues in Setting Medicaid Capitation Rates for Integrated Care Plans
Chapter 5 of this report to Congress examines rate setting in capitated integrated care programs including PACE. (Medicaid and CHIP Payment and Access Commission)
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)