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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

Technical Assistance Tool | January 2019
The Complex Art of Making It Simple: Factors Affecting Enrollment in Integrated Care Demonstrations for Dually Eligible Beneficiaries
Dually eligible beneficiaries began enrolling in integrated Medicare-Medicaid plans (MMPs) under the Financial Alignment Initiative (FAI) in calendar year 2013. Under the FAI, the Centers for Medicare & Medicaid Services (CMS) and 10… (Mathematica)
March 2016
Medicaid Managed Long-Term Services and Supports: Themes from Site Visits to Five States
During site visits to five states (Arizona, Florida, Illinois, New York, and Wisconsin), researchers identified major themes related to the rapid growth of Medicaid managed long-term services and supports (MLTSS) programs and the diversity of ways… (Mathematica)
Brief | December 2014
Measuring Up: A Novel Approach to Assessing State Oversight of Medicaid Managed Care
This brief assesses Washington State's oversight of Medicaid managed care plan performance under the state's 1915 (b) waiver by quantifying monitoring practices and comparing them to benchmarks inside and outside of Washington State. (Mathematica)
November 2013
Encounter Data Toolkit
This toolkit provides a practical guide to collecting, validating, and reporting Medicaid managed care encounter data and is designed as a guide for state Medicaid staff responsible for managing the daily operations involved in encounter data, as… (Mathematica)
Other Resource | February 2013
Toward a More Perfect Union: Creating Synergy Between the Money Follows the Person and Managed Long-Term Services and Supports Programs
This report examines how five states have structured the interface between MFP demonstration grants and Managed long-term services and supports (MLTSS) programs to promote transitions from institutional care to home- and community-based settings. (Mathematica)
Other Resource | April 2012
Massachusetts One Care Initiative for Non-elderly Dual Eligibles
This fact sheet provides a comprehensive description of One Care, Massachusetts' demonstration project for adults with disabilities between the ages of 21 and 64 who are dually eligible for Medicare and Medicaid. (Massachusetts Medicaid Policy Institute)
Other Resource | January 2012
Risk Adjustment for Dual Eligibles: Breaking New Ground in Massachusetts
This report offers recommendations for developing risk adjustment and rate-setting mechanisms to reinforce the goals of care integration. (Massachusetts Medicaid Policy Institute)

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Displaying 1 - 7 of 7

The Complex Art of Making It Simple: Factors Affecting Enrollment in Integrated Care Demonstrations for Dually Eligible Beneficiaries

Medicaid Managed Long-Term Services and Supports: Themes from Site Visits to Five States

Measuring Up: A Novel Approach to Assessing State Oversight of Medicaid Managed Care

Encounter Data Toolkit

Toward a More Perfect Union: Creating Synergy Between the Money Follows the Person and Managed Long-Term Services and Supports Programs

Massachusetts One Care Initiative for Non-elderly Dual Eligibles

Risk Adjustment for Dual Eligibles: Breaking New Ground in Massachusetts