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.
This report examines strategies states are using to address or eliminate system-level barriers to integrated care for Medicaid beneficiaries with both physical and behavioral health care needs.
(The Commonwealth Fund)
This brief outlines considerations to guide state Medicaid agencies in successfully integrating behavioral health services within accountable care organizations, including decisions around financial strategies, data sharing, and quality measurement.
(Center for Health Care Strategies)
This brief describes early efforts in four states to improve integration of behavioral health services for Medicare-Medicaid beneficiaries.
(Center for Health Care Strategies)
In this presentation, CMS and MassHealth staff provide different perspectives on the challenges and successes of the three-way contracting process in Massachusetts, including discussion of managing timeframes and interacting with health plans.
(Integrated Care Resource Center)
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)
This technical assistance tool covers key issues in RFPs and contracts related to consumer protection including marketing, member materials and education, continuity of care, and grievance and appeals processes.
(Integrated Care Resource Center)
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)
This brief provides suggestions for designing and implementing integrated care initiatives that are of high quality, offer attractive benefits and services, and provide easy-to-understand education, outreach, and marketing information. It also… (Integrated Care Resource Center)
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)
This brief provides basic information on Medicare Part D, including how beneficiaries are enrolled in Part D, how Part D drugs are paid for, what drugs are and are not covered in Part D, how drug utilization is managed in Part D, and how the Part D… (Integrated Care Resource Center)
This presentation highlights new data, promising care delivery models, and policies intended to support integrated medical care, behavioral health care, and long-term services and supports for Medicare beneficiaries with serious mental illness.
(The SCAN Foundation)
This case study highlights a chronic conditions special needs plan (C-SNP) for Medicare and dual eligible beneficiaries with serious mental illness that integrates physical and behavioral health services for enrollees.
(Center for Health Care Strategies)
This background paper examines the contents of states' proposals in the areas of target population, implementation date, enrollment, financing, benefits, beneficiary protections, stakeholder engagement, and demonstration evaluation.
(Kaiser Family Foundation)