Search for Resources

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 20

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)
Other Resource | April 2019
Selected Characteristics of 10 States With the Greatest Change in Long-Term Services and Supports System Balancing, 2012–2016
This report provides a national overview of long-term services and supports (LTSS) rebalancing and highlights 10 states – Missouri, Massachusetts, New York, New Jersey, Connecticut, Colorado, South Carolina, Illinois, Nevada, and Arkansas… (Centers for Medicare & Medicaid Services)
Study Hall Call | March 2019
New MLTSS Assessment and Care Planning Quality Measures: Implementation Issues for States and Integrated Care Plans
This webinar describes four new quality measures specifically designed for use by Medicaid managed long-term services and supports (MLTSS) plans, which address comprehensive assessments, comprehensive care plans, shared care plans with primary… (Integrated Care Resource Center)
Other Resource | March 2019
People Dually Eligible for Medicare and Medicaid
In 2017, there were 12 million individuals dually eligible for Medicare and Medicaid. This fact sheet provides information on their reasons for Medicare eligibility, costs of care, and enrollment in managed care as well as the… (Centers for Medicare & Medicaid Services)
Brief | February 2017
Medicaid's Role for Medicare Beneficiaries
This brief explains Medicaid's role in providing supplemental coverage to Medicare beneficiaries. It also provides data on Medicaid spending for Medicare beneficiaries. (Kaiser Family Foundation)
January 2017
Medicaid Section 1115 Managed Long-Term Services and Supports Waivers: A Survey of Enrollment, Spending, and Program Policies
This report presents findings from a 2015 survey about § 1115 MLTSS waiver enrollment, spending, and program policies. (Kaiser Family Foundation)
August 2016
Managed Long-Term Services and Supports Rate Setting Resource Center
This resource center gives states tools for developing or refining rate-setting methods for Medicaid managed long-term services and supports (MLTSS) or Medicare-Medicaid integrated care programs. (Center for Health Care Strategies)
June 2016
Report to the Congress: Medicare and the Health Care Delivery System -- Chapter 9: Issues Affecting Dual-Eligible Beneficiaries: CMS's Financial Alignment Demonstration and the Medicare Savings Program
This chapter of MedPAC's June 2016 report reviews the progress of the financial alignment demonstrations and analyzes options for Medicare Savings Programs. (Medicare Payment Advisory Commission)
April 2016
Key Components for Successful LTSS Integration: Lessons from Five Exemplar Plans. Working Paper 1: Project to Develop the Business Case for LTSS Integration
This report analyzes the key components that affect integration of medical care and long-term supports and services for Medicaid and Medicare-Medicaid enrollees in managed care plans. (Long-Term Quality Alliance)
Study Hall Call | March 2016
Overview of State Considerations for Medicaid Managed Long-Term Services and Supports (MLTSS) Rate Setting
This webinar features an overview of MLTSS rate setting basics, shares initial findings from a project on Medicaid MLTSS rate setting, and also includes a facilitated discussion with an expert actuary and state representatives from Tennessee and… (Integrated Care Resource Center)
Other Resource | March 2016
Minnesota Managed Care Longitudinal Data Analysis
This report compares utilization of community-based services by dually eligible beneficiaries enrolled in a fully integrated managed care program to those of beneficiaries receiving Medicare and Medicaid services from separate delivery systems.… (Office of the Assistant Secretary for Planning and Evaluation [ASPE])
Brief | January 2016
Developing Capitation Rates for Medicaid Managed Long-Term Services and Supports Programs: State Considerations
This brief examines considerations for rate setting in Medicaid managed long-term services and supports (MLTSS) programs and spotlights the experiences of eight statesin establishing MLTSS payment rates. (Center for Health Care Strategies)
June 2014
Raising Expectations, 2014: A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers
This second edition of the scorecard measures state-level performance on five dimensions: (1) affordability and access; (2) choice; (3) quality; (4) support for family caregivers; and (5) effective transitions. (AARP Public Policy Institute)
Technical Assistance Tool | October 2013
Application of Existing External Quality Review Protocols to Managed Long Term Services and Supports
This tool is a road map for states to use in interpreting and applying existing External Quality Review protocols when assessing Medicaid MLTSS program compliance. (Centers for Medicare & Medicaid Services)
Study Hall Call | January 2013
Rate Setting for Capitated Medicaid Managed Long-Term Services and Supports
This presentation describes the objectives of the rate setting process, basic approach, rate structure, and risk mitigation strategies and provides state examples. (Integrated Care Resource Center)