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 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)
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)
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)
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 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)
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 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)
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For technical assistance on cost sharing protections language, please contact ICRC at ICRC@mathematica-mpr.com
(Integrated Care Resource Center)