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 paper provides resources to help state advocates identify measures that can help determine if the identified needs and goals of people with disabilities and seniors are being met.
(Disability Rights Education & Defense Fund)
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)
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)
This report details development of quality indicators for individuals receiving home- and community-based services.
(Agency for Healthcare Research and Quality)
This brief discusses strategies for structuring rates for managed long-term services and supports programs to encourage the use of home- and community-based services and details states experiences in setting rates for these programs.
(Center for Health Care Strategies)
This brief examines issues in the development and implementation of managed care programs for Medicaid beneficiaries with disabilities, particularly policy considerations related to setting rates, developing provider networks and delivery systems,… (Kaiser Family Foundation)
This document articulates guiding principles that should be observed in designing and carrying out managed care initiatives involving people with chronic disabilities.
(National Council on Disability)
This document assesses the impact of managed care on people with disabilities to identify the opportunities/risks and strengths/weaknesses of pursuing managed care as a component of health care reform.
(National Council on Disability)
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)
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)
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)
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)
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)