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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 31 - 45 of 46

Brief | July 2013
Transitioning Beneficiaries with Complex Care Needs to Medicaid Managed Care: Insights from California
This brief examines how providers, health plans, and community-based organizations in three counties experienced California’s transition of approximately 240,000 seniors and people with disabilities to Medicaid managed care. (Kaiser Family Foundation)
Brief | July 2013
Three State Paths to Improve Medicaid Managed Long-Term Care: Florida, New Jersey, and Virginia
This brief looks at the paths pursued by Florida, New Jersey, and Virginia in implementing MLTSS approaches focused on helping individuals to live in their communities rather than nursing facilities. (Center for Health Care Strategies)
Brief | July 2013
Building State Capacity to Implement Integrated Care Programs for Medicare-Medicaid Enrollees
This brief examines how states will need to build their information systems and internal capacity for data analysis as they pursue integrated care programs for Medicare-Medicaid enrollees. (Center for Health Care Strategies)
Brief | July 2013
Developing Provider Networks for Medicaid Managed Long-Term Services and Supports Programs: Considerations for States
This brief presents considerations for provider network development, reviews recent guidance, and offers examples of state practices for establishing MLTSS network adequacy standards. (Center for Health Care Strategies)
Brief | April 2013
Medicaid Long-Term Services and Supports: Key Considerations for Successful Transitions from Fee-For-Service to Capitated Managed Care Programs
This brief examines key policy and operational considerations related to the transition from fee-for-service to risk-based capitated managed care for LTSS. (Kaiser Family Foundation)
Case Study | February 2013
Extending Lessons from a Medicaid Pilot to Improve Care for Medicare and Dual Eligible Beneficiaries
This case study highlights a chronic conditions special needs plan (C-SNP) for Medicare and dual eligible beneficiaries with serious mental illness that integrates physical and behavioral health services for enrollees. (Center for Health Care Strategies)
Other Resource | October 2012
Massachusetts' Demonstration to Integrate Care and Align Financing for Dual Eligible Beneficiaries
This policy brief summarizes the terms of Massachusetts' MOU in the several key areas, including enrollment, care delivery model, benefits, financing, beneficiary protections and monitoring and evaluation. (Kaiser Family Foundation)
October 2012
State Demonstrations to Integrate Care and Align Financing for Dual Eligible Beneficiaries: A Review of the 26 Proposals Submitted to CMS
This background paper examines the contents of states' proposals in the areas of target population, implementation date, enrollment, financing, benefits, beneficiary protections, stakeholder engagement, and demonstration evaluation. (Kaiser Family Foundation)
October 2012
Explaining the State Integrated Care and Financial Alignment Demonstrations for Dual Eligible Beneficiaries
This paper gives an overview of the proposals submitted by states to test two models to align Medicare and Medicaid benefits and financing for dually eligible beneficiaries with the goal of delivering better coordinated care and reducing costs. (Kaiser Family Foundation)
Brief | May 2012
Medicaid Rate-Setting Strategies to Promote Home- and Community-Based Services
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)
Brief | April 2012
An Update on CMS's Capitated Financial Alignment Demonstration Model for Medicare-Medicaid Enrollees
This policy brief describes the capitated financial alignment demonstration model, including information on financing, enrollment, provider network adequacy, medical necessity determinations, appeals, and quality and oversight. (Kaiser Family Foundation)
Brief | February 2012
People with Disabilities and Medicaid Managed Care: Key Issues to Consider
This brief examines issues in the development and implementation of managed care programs for Medicaid beneficiaries with disabilities, particularly policy considerations related to setting rates, developing provider networks and delivery systems,… (Kaiser Family Foundation)
Other Resource | November 2011
Integrating Physical and Behavioral Health -- An Exploration of State Options
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)
Brief | November 2011
Communicating the Value of Integrated Care to Stakeholders
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)
Other Resource | January 2011
Integrating Physical and Behavioral Health Care in Medicaid: An Online Toolkit
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)