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 brief looks at the paths pursued by Florida, New Jersey, and Virginia in implementing MLTSS approaches focused on helping individuals to live in their communities rather than nursing facilities.
(Center for Health Care Strategies)
This brief examines how providers, health plans, and community-based organizations in three counties experienced California’s transition of approximately 240,000 seniors and people with disabilities to Medicaid managed care.
(Kaiser Family Foundation)
This document provides a summary of the ten key elements that CMS expects to see incorporated into new and existing state Medicaid MLTSS programs.
(Centers for Medicare & Medicaid Services)
This document describes the ten key elements that CMS expects to see incorporated into new and existing state Medicaid MLTSS programs.
(Centers for Medicare & Medicaid Services)
This brief examines key policy and operational considerations related to the transition from fee-for-service to risk-based capitated managed care for LTSS.
(Kaiser Family Foundation)
This webinar explains participant direction and how it can be included in contract language; also describes how Arizona implemented consumer direction in its long-term care system.
(Integrated Care Resource Center)
Chapter 5 of this report to Congress examines rate setting in capitated integrated care programs including PACE.
(Medicaid and CHIP Payment and Access Commission)
The National Resource Center for Participant-Directed Services explains participant direction and how it can be included in contract language, and staff from the Arizona Health Care Cost Containment System give an example of how Arizona implemented… (Integrated Care Resource Center)
This report examines how five states have structured the interface between MFP demonstration grants and Managed long-term services and supports (MLTSS) programs to promote transitions from institutional care to home- and community-based settings.
(Mathematica)
This presentation describes the objectives of the rate setting process, basic approach, rate structure, and risk mitigation strategies and provides state examples.
(Integrated Care Resource Center)
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)