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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 - 7 of 7

Other Resource | May 2020
Contract Year 2021 Models for Applicable Integrated Plans: 'Letter about Your Right to Make a Fast Complaint' and 'Appeal Decision Letter'
This CMS memorandum describes the final Contract Year 2021 model notices for Dual Eligible Special Needs Plans that are applicable integrated plans, "Letter about Your Right to Make a Fast Complaint" and "Appeal Decision Letter", which are both… (Centers for Medicare & Medicaid Services)
Other Resource | March 2019
Three New Opportunities to Test Innovative Models of Integrated Care for Individuals Dually Eligible for Medicaid and Medicare
This State Medicaid Director Letter invites states to partner with CMS to test innovative approaches to better serve individuals who are dually eligible for Medicare and Medicaid. The three new opportunities include: capitated Financial… (Centers for Medicare & Medicaid Services)
Other Resource | June 2016
Data-Driven Strategies - Analyzing Opt-Outs and Engaging Beneficiaries and Providers
This document describes the process that states and health plans participating in the capitated financial alignment demonstrations use to submit information to CMS' MARx systems. (Centers for Medicare & Medicaid Services)
January 2012
Capitated Financial Alignment Model Plan Guidance
This memo provides guidance to organizations interested in offering capitated financial alignment demonstration plans. (Centers for Medicare & Medicaid Services)
July 2011
State Medicaid Directors' Letter re: Financial Models to Support State Efforts to Integrate Care for Medicare-Medicaid Enrollees
(Centers for Medicare & Medicaid Services)
July 2011
Financial Models to Support State Efforts to Integrate Care for Medicare-Medicaid Enrollees: Frequently Asked Questions
(Centers for Medicare & Medicaid Services)
Other Resource
Key Demonstration Documents on the MMCO Website
These documents, including California's proposal, three-way contract, readiness review tool, and evaluation design plan, are posted on the Medicare-Medicaid Coordination Office's website. (Centers for Medicare & Medicaid Services)

Search for Resources

Displaying 1 - 7 of 7

Contract Year 2021 Models for Applicable Integrated Plans: 'Letter about Your Right to Make a Fast Complaint' and 'Appeal Decision Letter'

Three New Opportunities to Test Innovative Models of Integrated Care for Individuals Dually Eligible for Medicaid and Medicare

Data-Driven Strategies - Analyzing Opt-Outs and Engaging Beneficiaries and Providers

Capitated Financial Alignment Model Plan Guidance

State Medicaid Directors' Letter re: Financial Models to Support State Efforts to Integrate Care for Medicare-Medicaid Enrollees

Financial Models to Support State Efforts to Integrate Care for Medicare-Medicaid Enrollees: Frequently Asked Questions

Key Demonstration Documents on the MMCO Website