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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 16 - 30 of 30

Brief | May 2016
Alternatives to Inpatient Psychiatric Services for Medicare-Medicaid Enrollees: A Case Study of Commonwealth Care Alliance
This brief describes Commonwealth Care Alliance's development of enhanced residential crisis stabilization units that fill a gap in the behavioral health continuum of care available to enrollees in Massachusetts' Medicare-Medicaid… (Integrated Care Resource Center)
Other Resource | March 2016
Report to Congress on Medicaid and CHIP - Chapter 4: Integration of Behavioral and Physical Health Services in Medicaid
This chapter discusses the approaches used by the Financial Alignment Initiative demonstrations, Medicare Advantage Dual Eligible Special Needs Plans, and the Program of All-inclusive Care for the Elderly to integrate behavioral health and physical… (Medicaid and CHIP Payment and Access Commission)
August 2014
State Strategies for Integrating Physical and Behavioral Health Services in a Changing Medicaid Environment
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)
Brief | July 2014
Considerations for Integrating Behavioral Health Services within Medicaid Accountable Care Organizations
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)
May 2014
Medicare-Medicaid Linked Enrollee Analytic Data Source
The Medicare-Medicaid Linked Enrollee Analytic Data Source (MMLEADS) provides all Medicare and Medicaid enrollment and claims data for dually eligible beneficiaries. This comprehensive suite of annual, calendar year data files contains Medicare… (ResDAC)
Brief | February 2014
State Approaches to Integrating Physical and Behavioral Health Services for Medicare-Medicaid Beneficiaries: Early Insights
This brief describes early efforts in four states to improve integration of behavioral health services for Medicare-Medicaid beneficiaries. (Center for Health Care Strategies)
November 2013
Encounter Data Toolkit
This toolkit provides a practical guide to collecting, validating, and reporting Medicaid managed care encounter data and is designed as a guide for state Medicaid staff responsible for managing the daily operations involved in encounter data, as… (Mathematica)
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
Building State Capacity to Implement Integrated Care Programs for Medicare-Medicaid Enrollees
This brief examines how states will need to build their information systems and internal capacity for data analysis as they pursue integrated care programs for Medicare-Medicaid enrollees. (Center for Health Care Strategies)
Other Resource | February 2013
Meeting the Needs of Severely Mentally Ill Medicare Beneficiaries: Strategies for Coordinating Care
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)
Case Study | February 2013
Extending Lessons from a Medicaid Pilot to Improve Care for Medicare and Dual Eligible Beneficiaries
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)
Other Resource | November 2011
Integrating Physical and Behavioral Health -- An Exploration of State Options
This presentation explores options for integrating physical and behavioral health services within coordinated delivery systems and how three states - Arizona, Tennessee, and Vermont - are approaching integration from different vantage points. (Center for Health Care Strategies)
Brief | October 2011
State Options for Integrating Physical and Behavioral Health Care
This brief explores state options for integrating physical and behavioral health services within managed delivery systems, including examples of current state programs and critical considerations for implementation. (Centers for Medicare & Medicaid Services)
Other Resource | January 2011
Integrating Physical and Behavioral Health Care in Medicaid: An Online Toolkit
This toolkit contains resources addressing strategies for identification, stratification, integration, consumer engagement, information exchange, and financial alignment linked to physical/behavioral health integration. (Center for Health Care Strategies)
Other Resource | June 2009
Integrated Care Plan Template - Connected Care Pilot
This web-based integrated care plan, developed for the Southwestern Pennsylvania Rethinking Care Program pilot, allows physical and behavioral health plans to share data with care managers. (UPMC Health Plan)