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.
In April 2024, CMS released new rules at 42 CFR §422.514(h) for D-SNPs with affiliated Medicaid managed care organizations (MCOs). This ICRC tip sheet provides (1) an overview of those new requirements, which take effect in 2027 and 2030, and a… (Integrated Care Resource Center)
During this webinar, ICRC staff provide an overview of the Medicare enrollment process used by dual eligible special needs plans (D-SNPs) and describe key steps and considerations for states that choose to align Medicaid coverage with D-SNP… (Integrated Care Resource Center)
Aligned Medicare and Medicaid provider networks can improve the care experience of D-SNP enrollees by eliminating the need to navigate separate Medicare and Medicaid provider networks to access care. During this ICRC state-only call, ICRC staff… (Integrated Care Resource Center)
This webinar is designed for state Medicaid agency staff who work with (or on programs that serve) dually eligible individuals. The webinar will be especially helpful to state Medicaid agency staff who are new to or seeking a refresher on D-SNP… (Integrated Care Resource Center)
This webinar builds on the foundational information presented in our last Working with Medicare webinar. It provides an overview of D-SNP contracting strategies and considerations for states with integrated D-SNPs. It is the second in a series… (Integrated Care Resource Center)
This webinar provides an overview of D-SNP contracting for state Medicaid agencies and a summary of new rules related to D-SNP contracting. It is the first in a series of three webinars. The second webinar in the series is available here, and the… (Integrated Care Resource Center)
This webinar will be especially helpful to state Medicaid agency staff who (1) are new to working with dually eligible individuals or (2) wish to better understand the different types of dual eligibility and the ways in which different groups of… (Integrated Care Resource Center)
This webinar provides an overview of the Medicare program—including Medicare eligibility, benefits, and coverage options—and discuss how Medicare and Medicaid benefits overlap and interact for dually eligible individuals. The webinar is especially… (Integrated Care Resource Center)
This webinar builds on ICRC’s Fall 2023 introductory D-SNP quality oversight and improvement tip sheet and webinar, focusing on how states can improve the quality of LTSS and behavioral health services.
Learning Objectives: By… (Integrated Care Resource Center)
The Centers for Medicare & Medicaid Services (CMS) uses a five-star quality rating system to evaluate the performance of Medicare Advantage (MA) health plans. This Star Rating system enables beneficiaries, payers, and others to compare plans… (Integrated Care Resource Center)
This tip sheet is designed to help states that are planning procurements related to their integrated care programs for dually eligible individuals. It aims to help these states: (1) understand the relationship between state efforts to procure… (Integrated Care Resource Center)
This webinar provides an overview of Medicare and Medicaid behavioral health benefits (including mental health and substance use disorder benefits) for dually eligible individuals. It includes a summary of recent expansion of Medicare coverage of… (Integrated Care Resource Center)
This tip sheet details strategies states can use in their State Medicaid Agency Contracts (SMACs) with Dual Eligible Special Needs Plans (D-SNPs) to promote integration and coordination of behavioral health benefits among enrolled dually eligible… (Integrated Care Resource Center)
This webinar describes the opportunity for states to require Dual Eligible Special Needs Plans (D-SNPs) that operate with exclusively aligned enrollment to establish contracts with the Centers for Medicare & Medicaid Services (CMS) that only… (Integrated Care Resource Center)