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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 121 - 132 of 132

October 2012
Explaining the State Integrated Care and Financial Alignment Demonstrations for Dual Eligible Beneficiaries
This paper gives an overview of the proposals submitted by states to test two models to align Medicare and Medicaid benefits and financing for dually eligible beneficiaries with the goal of delivering better coordinated care and reducing costs. (Kaiser Family Foundation)
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)
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)
Brief | April 2012
An Update on CMS's Capitated Financial Alignment Demonstration Model for Medicare-Medicaid Enrollees
This policy brief describes the capitated financial alignment demonstration model, including information on financing, enrollment, provider network adequacy, medical necessity determinations, appeals, and quality and oversight. (Kaiser Family Foundation)
January 2012
Capitated Financial Alignment Model Plan Guidance
This memo provides guidance to organizations interested in offering capitated financial alignment demonstration plans. (Centers for Medicare & Medicaid Services)
Other Resource | December 2011
Measurement Opportunities & Gaps: Transitional Care Processes and Outcomes Among Adult Recipients of Long-Term Services and Supports
This report provides an overview of the LTQA Quality Measurement Workgroup's approach to identifying and disseminating quality measures for long-term services and supports that promote effective care transitions, improve health and quality of… (Long-Term Quality Alliance)
July 2011
State Medicaid Directors' Letter re: Financial Models to Support State Efforts to Integrate Care for Medicare-Medicaid Enrollees
(Centers for Medicare & Medicaid Services)
July 2011
Financial Models to Support State Efforts to Integrate Care for Medicare-Medicaid Enrollees: Frequently Asked Questions
(Centers for Medicare & Medicaid Services)
Technical Assistance Tool
Sample Language for State Medicaid Agency Contracts with Dual Eligible Special Needs Plans (D-SNPs): Cost-Sharing Protections for D-SNP Enrollees
Coming Soon For technical assistance on cost sharing protections language, please contact ICRC at ICRC@mathematica-mpr.com (Integrated Care Resource Center)
Other Resource
Illinois State Website
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)
Other Resource
California State Website
The CalDuals website provides information on Cal MediConnect -- the capitated model Financial Alignment Initiative in California. (California Department of Health Care Services)
Other Resource
Key Demonstration Documents on the MMCO Website
These documents, including California'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)