Search for Resources | Integrated Care Resource Center

Displaying 1 - 15 of 149

Technical Assistance Tool | January 2025
Sample Language for State Medicaid Agency Contracts with Dual Eligible Special Needs Plans (D-SNPs): Optional Language Applicable to Certain D-SNPs
This technical assistance tool is the last in a series of four tools that provide sample State Medicaid Agency Contract (SMAC) language that states can use in contracts with D-SNPs to meet federal requirements and advance state goals regarding care… (Integrated Care Resource Center)
Technical Assistance Tool | March 2025
Monthly Integrated Care Exclusively Aligned Enrollment Report: Dually Eligible Individuals Enrolled in Medicare-Medicaid Plans (MMPs), Programs of All-Inclusive Care for the Elderly (PACE), and Applicable Integrated Plans (AIPs)
This document presents plan and state-level enrollment in three types of integrated care plans/programs that operate with exclusively aligned enrollment: Medicare-Medicaid Plans (MMPs) that operate within demonstrations offered under the Financial… (Integrated Care Resource Center)
Technical Assistance Tool | January 2025
Sample Language for State Medicaid Agency Contracts with Dual Eligible Special Needs Plans (D-SNPs): Requirements for All D-SNPs
This technical assistance tool is the first in a series of four tools that provide sample State Medicaid Agency Contract (SMAC) language that states can use in contracts with D-SNPs to meet federal requirementsand advance state goals regarding care… (Integrated Care Resource Center)
Technical Assistance Tool | January 2025
Sample Language for State Medicaid Agency Contracts with Dual Eligible Special Needs Plans (D-SNPs): Requirements for Certain Types of D-SNPs
This technical assistance tool is the second in a series of four tools that provide sample State Medicaid AgencyContract (SMAC) language that states can use in contracts with D-SNPs to meet federal requirements and advance state goals regarding care… (Integrated Care Resource Center)
Technical Assistance Tool | January 2025
Sample Language for State Medicaid Agency Contracts with Dual Eligible Special Needs Plans (D-SNPs): Optional Language Applicable to All D-SNPs
This technical assistance tool is the third in a series of four tools that provide sample State Medicaid Agency Contract (SMAC) language that states can use in contracts with D-SNPs to meet federal requirements and advance state goals regarding care… (Integrated Care Resource Center)
Other Resource | January 2025
Medicare-Medicaid Plan (MMP) Technical Guide to Eligibility and Enrollment Transaction Processing
The Medicare and Medicaid Technical Guide is a reference document used by Financial Alignment Initiative demonstration states and their partner Medicare Advantage plans and enrollment brokers to use as a guide to process their enrollment and related… (Infocrossing)
Other Resource | October 2024
QMB Billing HPMS memo
This Centers for Medicare & Medicaid Services (CMS) Health Plan Management System (HPMS) memorandum reminds Medicare plans of their obligation to educate network providers, suppliers, and pharmacies about, and ensure compliance with, QMB billing… (Centers for Medicare & Medicaid Services)
Other Resource | June 2024
Lessons Learned from Dual Eligible Special Needs Plans Enrollee Advisory Committee Strategic Conversation
Technical Assistance Tool | March 2024
Sample Language for State Medicaid Agency Contracts with Dual Eligible Special Needs Plans (D-SNPs): Cost Sharing Protections for D-SNP Enrollees
This technical assistance tool is part of a series of tools that provide sample State Medicaid Agency Contract (SMAC) language that states can use in contracts with D-SNPs to meet federal requirements and advance state goals regarding care… (Integrated Care Resource Center)
Technical Assistance Tool | February 2024
Key 2024 Medicare Advantage Dates
This calendar of key Medicare Advantage (MA) dates was developed to assist states in the development and implementation of integrated care programs for people dually eligible for Medicare and Medicaid. The dates and information in this calendar are… (Integrated Care Resource Center)
Technical Assistance Tool | February 2024
Sample Language for State Medicaid Agency Contracts with Dual Eligible Special Needs Plans
To operate in a state, a Dual Eligible Special Needs Plan(D-SNP) must hold a contract with the state Medicaid agency. Those state Medicaid agency contracts (SMACs) must all have at least certain minimum elements, and states can also add additional… (Integrated Care Resource Center)
Technical Assistance Tool | July 2023
Glossary of Terms Related to Integrated Care for Dually Eligible Individuals
This resource was updated in July 2023 to include updated definitions of Dual Eligible Special Needs Plans (D-SNPs), Fully Integrated Dual Eligible Special Needs Plans (FIDE SNPs), Highly Integrated Dual Eligible Special Needs Plans (HIDE SNPs), and… (Integrated Care Resource Center)
Technical Assistance Tool | May 2023
New and Departing Medicare Advantage (MA) Contracts with Dual Eligible Special Needs Plans (D-SNPs) in Calendar Year 2023, by State
This resource reflects the new and departing Dual Eligible Special Needs Plans for 2023, by State analysis. The analysis has the following tables and figures: Table that lists the new and departing D-SNPs in each state for CY2023 Table that lists… (Integrated Care Resource Center)
Other Resource | March 2023
Key 2023 Medicare Advantage Dates
This calendar of key Medicare Advantage (MA) dates was developed to assist states and health plans in the implementation of integrated care programs for people dually eligible for Medicare and Medicaid. For a complete list of MA and Part D… (Integrated Care Resource Center)
Other Resource | August 2022
Guidance for States Seeking to Leverage New Opportunities for Integrated Care Programs
This memorandum provides states with guidance on the process for working with the Centers for Medicare & Medicaid Services (CMS) to establish Dual Eligible Special Needs Plans (D-SNP)-only contracts and develop integrated materials. The Contract… (Centers for Medicare & Medicaid Services)