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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 91 - 105 of 110

Technical Assistance Tool | July 2013
Selected Provisions from Integrated Care RFPs and Contracts: Care Coordination
This technical assistance tool covers key issues in RFPs and contracts related to care coordination including the structure of the care team, development of care plans, caseload requirements, and use of a centralized enrollee record. (Integrated Care Resource Center)
Technical Assistance Tool | July 2013
Selected Provisions from Integrated Care RFPs and Contracts: Behavioral Health
This technical assistance tool covers key issues in RFPs and contracts related to behavioral health including coordination of behavioral health services, network availability of behavioral health services, and inclusion of behavioral health… (Integrated Care Resource Center)
Brief | July 2013
Transitioning Beneficiaries with Complex Care Needs to Medicaid Managed Care: Insights from California
This brief examines how providers, health plans, and community-based organizations in three counties experienced California’s transition of approximately 240,000 seniors and people with disabilities to Medicaid managed care. (Kaiser Family Foundation)
Brief | July 2013
Three State Paths to Improve Medicaid Managed Long-Term Care: Florida, New Jersey, and Virginia
This brief looks at the paths pursued by Florida, New Jersey, and Virginia in implementing MLTSS approaches focused on helping individuals to live in their communities rather than nursing facilities. (Center for Health Care Strategies)
Brief | July 2013
Developing Provider Networks for Medicaid Managed Long-Term Services and Supports Programs: Considerations for States
This brief presents considerations for provider network development, reviews recent guidance, and offers examples of state practices for establishing MLTSS network adequacy standards. (Center for Health Care Strategies)
May 2013
Timeline for Developing a Managed Long Term Services and Supports Program
This document sets out a timeline for optimal planning and implementation of MLTSS programs. (Truven Health Analytics)
May 2013
Transitioning Long Term Services and Supports Providers Into Managed Care Programs
This paper identifies concerns and considerations in incorporating traditional LTSS providers into a managed care program. (Truven Health Analytics)
Brief | April 2013
Medicaid Long-Term Services and Supports: Key Considerations for Successful Transitions from Fee-For-Service to Capitated Managed Care Programs
This brief examines key policy and operational considerations related to the transition from fee-for-service to risk-based capitated managed care for LTSS. (Kaiser Family Foundation)
Technical Assistance Tool | March 2013
Past Performance and RFP/RFR Language Options
This technical assistance tool provides states with options to evaluate health plans' past performance as they consider those plans for participation in their integrated Medicare-Medicaid programs. (Integrated Care Resource Center)
Other Resource | March 2013
Integrated Care for People with Medicare and Medicaid: A Roadmap for Quality
This reports outlines a strategy or "roadmap" for evaluating the quality and person-centeredness of integrated care. (National Committee for Quality Assurance)
Other Resource | February 2013
Toward a More Perfect Union: Creating Synergy Between the Money Follows the Person and Managed Long-Term Services and Supports Programs
This report examines how five states have structured the interface between MFP demonstration grants and Managed long-term services and supports (MLTSS) programs to promote transitions from institutional care to home- and community-based settings. (Mathematica)
November 2012
Putting Consumers First: Promising Practices for Medicaid Managed Long-Term Services and Supports
This report provides an overview of LTSS, the risks and benefits of Medicaid MLTSS, policy recommendations and promising practices from states that have implemented these programs. (Community Catalyst)
Study Hall Call | July 2012
Readiness Review for Implementation of a Medicaid Managed Long-Term Services and Supports Program
This presentation describes the readiness review process that Tennessee used with health plans participating in its Medicaid MLTSS program. (Integrated Care Resource Center)
July 2012
Population Groups Enrolled in Managed Long Term Services and Supports
This chart lists the population groups that are enrolled in current MLTSS programs, as well as those projected to be enrolled in future MLTSS programs. (Truven Health Analytics)
Other Resource | July 2012
Keeping Watch: Building State Capacity to Oversee Medicaid Managed Long-Term Services and Supports
This study examines how eight state Medicaid agencies, experienced in overseeing these programs, monitor the performance of plan contractors to ensure they provide optimal care to enrollees. (AARP Public Policy Institute)