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.
"Exclusively aligned enrollment" (EAE) occurs when a state restricts enrollment in a Medicare Advantage dual eligible special needs plan (D-SNP) to full-benefit dually eligible individuals who receive Medicaid benefits from the D-SNP or an… (Integrated Care Resource Center)
States can allow or require D-SNPs that meet certain requirements to use default enrollment to align Medicare and Medicaid coverage for dually eligible individuals. Under default enrollment, D-SNPs may automatically enroll individuals who are… (Integrated Care Resource Center)