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 31 - 43 of 43

Webinars and Trainings | May 2013
The Three Way Contract
Brief | April 2013
Options for Attracting and Retaining Enrollment in Financial Alignment Initiatives for Medicare-Medicaid Enrollees
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)
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)
Brief | March 2013
Medicare Part D Prescription Drug Coverage for Medicare-Medicaid Enrollees in the Capitated Financial Alignment Demonstration
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)
October 2012
State Demonstrations to Integrate Care and Align Financing for Dual Eligible Beneficiaries: A Review of the 26 Proposals Submitted to CMS
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)
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)
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)
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)
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)