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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 - 15 of 138

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
E-alert, Other E-alert | May 2023
New ICRC Resource Medicaid Managed Care Authorities
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)
E-alert, Other E-alert | January 2023
Top Scoring Medicare-Medicaid Plans on Overall Rating of Health Plan: A Snapshot from the 2022 CAHPS Survey
E-alert, Other E-alert | August 2022
CMS Releases New Guidance for States Seeking to Leverage New Opportunities for Integrated Care Programs
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)
E-alert, Other E-alert | August 2022
CMS Issues FY2023 Hospice Payment Final Rule
E-alert, Other E-alert | June 2022
Two New Evaluation Reports for Financial Alignment Initiative Demonstrations
E-alert, Other E-alert | May 2022
CORRECTION - Preventing Eligibility Churn
E-alert, Other E-alert | May 2022
UPDATE- CMS Issues Final Rule on Contract Year 2023 MA and Part D Policy and Technical Changes
E-alert, Other E-alert | April 2022
Preventing Eligibility Churn
E-alert, Other E-alert | April 2022
Request for Comment on FY2023 Hospice Payment Rate Update Proposed Rule
Tip Sheet, Other Resource | April 2022
Dually Eligible Individuals: The Basics
ICRC has developed a basic fact sheet on individuals who are dually eligible for Medicare and Medicaid. (Integrated Care Resource Center)