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.
These materials including a meeting agenda, beneficiary profiles, definition of terms, dual coverage overview, and meeting evaluation were used for meetings with stakeholders.
(Washington State Health Care Authority)
This toolkit contains resources addressing strategies for identification, stratification, integration, consumer engagement, information exchange, and financial alignment linked to physical/behavioral health integration.
(Center for Health Care Strategies)
This web-based integrated care plan, developed for the Southwestern Pennsylvania Rethinking Care Program pilot, allows physical and behavioral health plans to share data with care managers.
(UPMC Health Plan)
This website provides information on the MI Health Link -- the capitated model Financial Alignment Initiative in Michigan.
(Michigan Department of Health and Human Services)
This website provides information on the Integrated Care Initiative: Phase 2 -- the capitated model Financial Alignment Initiative in Rhode Island.
(Rhode Island Executive Office of Health and Human Services)
This website provides information on One Care -- the capitated model Financial Alignment Initiative in Massachusetts.
(Massachusetts Executive Office of Health and Human Services)
These documents, including Rhode Island's proposal, three-way contract, readiness review tool, and evaluation design plan, are posted on the Medicare-Medicaid Coordination Office's website.
(Centers for Medicare & Medicaid Services)
These documents, including Massachusetts' proposal, three-way contract, readiness review tool, and evaluation design plan, are posted on the Medicare-Medicaid Coordination Office's website.
(Centers for Medicare & Medicaid Services)
New York States has two websites for its two different capitated model Financial Alignment Initiative demonstrations:
Fully Integrated Duals Advantage (FIDA); and
Fully Integrated Duals Advantage for Individuals with Intellectual and… (New York State Department of Health)
This website provides information on the Washington State Health Home Program -- the managed fee-for-service model Financial Alignment Initiative demonstration in Washington.
(Washington State Department of Social and Health Services)
This website provides information on the Medicare-Medicaid Alignment Initiative -- the capitated model Financial Alignment Initiative in Illinois.
(Illinois Department of Healthcare and Family Services)
These documents, including New York's proposal, three-way contract, readiness review tool, and evaluation design plan, are posted on the Medicare-Medicaid Coordination Office's website.
(Centers for Medicare & Medicaid Services)
These documents, including Washington's proposal and evaluation design plan, are posted on the Medicare-Medicaid Coordination Office's website.
(Centers for Medicare & Medicaid Services)
These documents, including Colorado's proposal and evaluation design plan, are posted on the Medicare-Medicaid Coordination Office's website.
(Centers for Medicare & Medicaid Services)