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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 - 8 of 8

Other Resource | April 2019
Selected Characteristics of 10 States With the Greatest Change in Long-Term Services and Supports System Balancing, 2012–2016
This report provides a national overview of long-term services and supports (LTSS) rebalancing and highlights 10 states – Missouri, Massachusetts, New York, New Jersey, Connecticut, Colorado, South Carolina, Illinois, Nevada, and Arkansas… (Centers for Medicare & Medicaid Services)
Other Resource | March 2019
People Dually Eligible for Medicare and Medicaid
In 2017, there were 12 million individuals dually eligible for Medicare and Medicaid. This fact sheet provides information on their reasons for Medicare eligibility, costs of care, and enrollment in managed care as well as the… (Centers for Medicare & Medicaid Services)
March 2015
HCBS Basic Element Review Tool for Statewide Transition Plans Version 1.0
This tool will be used by CMS to perform compliance reviews on state Home and Community Based Services (HCBS) Transition Plans. (Centers for Medicare & Medicaid Services)
June 2014
Self-Direction Program Options for Medicaid Payments in the Implementation of the Fair Labor Standards Act Regulation Changes
This informational bulletin summarizes guidance on implementing Section 2402 (a) of the Affordable Care Act, the provision that requires all states develop systems for delivering person-centered planning and self-direction of home and community-… (Centers for Medicare & Medicaid Services)
Technical Assistance Tool | October 2013
Application of Existing External Quality Review Protocols to Managed Long Term Services and Supports
This tool is a road map for states to use in interpreting and applying existing External Quality Review protocols when assessing Medicaid MLTSS program compliance. (Centers for Medicare & Medicaid Services)
May 2013
Summary of Essential Elements of Managed Long Term Services and Supports Programs
This document provides a summary of the ten key elements that CMS expects to see incorporated into new and existing state Medicaid MLTSS programs. (Centers for Medicare & Medicaid Services)
May 2013
Guidance to States Using 1115 Demonstrations or 1915 (b) Waivers for Managed Long Term Services and Supports Programs
This document describes the ten key elements that CMS expects to see incorporated into new and existing state Medicaid MLTSS programs. (Centers for Medicare & Medicaid Services)
Brief | August 2010
Cost Drivers for Dually Eligible Beneficiaries: Potentially Avoidable Hospitalizations from Nursing Facility, Skilled Nursing Facility, and Home and Community-Based Services Waiver Programs
This brief focuses on hospitalizations of Medicare-Medicaid beneficiaries who receive long-term care services in nursing facilities, participate in Medicaid home and community-based services waiver programs for the aged or disabled, or receive post-… (Centers for Medicare & Medicaid Services)