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.
This presentation describes the objectives of the rate setting process, basic approach, rate structure, and risk mitigation strategies and provides state examples.
(Integrated Care Resource Center)
This presentation describes the readiness review process that Tennessee used with health plans participating in its Medicaid MLTSS program.
(Integrated Care Resource Center)
This brief discusses concrete, actionable steps that states can take to move toward more integrated care for Medicare-Medicaid enrollees.
(Integrated Care Resource Center)
This brief discusses strategies for structuring rates for managed long-term services and supports programs to encourage the use of home- and community-based services and details states experiences in setting rates for these programs.
(Center for Health Care Strategies)
This brief reviews primary care case management and related models to gather insights into key program design elements in managed fee-for-service models.
(Integrated Care Resource Center)
This presentation explores options for integrating physical and behavioral health services within coordinated delivery systems and how three states - Arizona, Tennessee, and Vermont - are approaching integration from different vantage points.
(Center for Health Care Strategies)
This brief discusses the reasons why it is important to engage stakeholder groups; how to identify distinct audience groups within stakeholder community; and how to target messages to specific groups.
(Center for Health Care Strategies)
This toolkit contains resources addressing strategies for identification, stratification, integration, consumer engagement, information exchange, and financial alignment linked to physical/behavioral health integration.
(Center for Health Care Strategies)
This brief describes nine core program elements that are critical for achieving high-quality, patient-centered, and cost-effective care for dually eligible beneficiaries.
(Center for Health Care Strategies)
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For technical assistance on cost sharing protections language, please contact ICRC at ICRC@mathematica-mpr.com
(Integrated Care Resource Center)