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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 35

June 2017
Frequently Asked Questions about Self-Direction
This document answers common questions about self-direction including: (1) what is self-direction and why is it an important option for individuals receiving HCBS; (2) what are the components of self-direction. The document also defines self-… (Integrated Care Resource Center)
June 2017
Person-Centered and Participant-Directed Services: Implications for Practice
This video describes one social worker's approach to person-centered planning and explanation of self-direction. (Integrated Care Resource Center)
June 2017
Facilitator's Guide
This document accompanies the video and provides questions to help health plan case managers examine their impressions and opinions of what they have watched in the video. (Integrated Care Resource Center)
Other Resource | May 2017
Self-Direction of Home- and Community-Based Services: A Training Curriculum for Case Managers
The ability to direct and manage their own services and supports is important to many individuals who need the home- and community-based services (HCBS) provided through state Medicaid programs. These self-directed models may also be known as "… (Integrated Care Resource Center)
December 2016
Report to Congress: Social Risk Factors and Performance Under Medicare's Value-Based Purchasing Programs
This report, mandated by the Improving Medicare Post-Acute Care Transformation Act of 2014 ("IMPACT Act"), details research conducted on the relationships between social rick factors and performance in Medicare's value-based… (Office of the Assistant Secretary for Planning and Evaluation [ASPE])
June 2016
Accounting for Social Risk Factors in Medicare Payment: Identifying Risk Factors
This report presents a conceptual social risk factor framework, and details the results of a literature review linking social risk factors to health care outcomes important to Medicare payment and quality programs. (National Academies of Sciences, Engineering, and Medicine)
Brief | January 2016
Communicating Early Results of Integrated Care Efforts for Dually Eligible Individuals: State Approaches
This brief describes approaches that states have used to communicate early integrated care program results. Strategies discussed include developing program indicator dashboards, disseminating beneficiary experience data, and sharing success stories. (Center for Health Care Strategies)
Brief | December 2015
Assessing Success in Medicare-Medicaid Integration: A Review of Measurement Strategies
This brief examines the potential of current and planned measures to accurately assess the performance of integrated care programs for dually eligible individuals. (Center for Health Care Strategies)
Brief | May 2015
The Star Rating System and Medicare Advantage Plans
This brief examines how star rating are calculated and considerations around how differences among beneficiary populations should be recognized. (National Health Policy Forum)
May 2015
Quality Stars: Medicare Advantage Plans and the Star Rating System
This webinar explores Medicare Advantage plans' experience with the Star Ratings system, considers whether the system has served to drive quality improvement, how accurately it reflects plan management of quality and service, and what might… (National Health Policy Forum)
Study Hall Call | July 2014
Participant Direction in Integrated Care Programs
Examines participant direction and findings from a study of contract language by the National Resource Center for Participant-Directed Services; also describes how Massachusetts' Commonwealth Care Alliance supports members who wish to self-… (Integrated Care Resource Center)
June 2014
Self-Direction Program Options for Medicaid Payments in the Implementation of the Fair Labor Standards Act Regulation Changes
This informational bulletin summarizes guidance on implementing Section 2402 (a) of the Affordable Care Act, the provision that requires all states develop systems for delivering person-centered planning and self-direction of home and community-… (Centers for Medicare & Medicaid Services)
Study Hall Call | May 2014
Medicare Advantage D-SNP Contract Oversight and Quality Monitoring
This webinar summarizes a discussion among states, the Centers for Medicare & Medicaid Services, the National Association of Medicaid Directors, and ICRC about Medicare Advantage Dual Eligible Special Needs Plan contract oversight and quality… (Integrated Care Resource Center)
Other Resource | May 2014
Medicare Advantage D-SNP Contract Oversight and Quality Monitoring
This document summarizes a telephone discussion among states, CMS, the National Association of Medicaid Directors, and ICRC about Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) contract oversight and quality monitoring procedures. (Integrated Care Resource Center)
Technical Assistance Tool | April 2014
Selected Provisions from Integrated Care RFPs and Contracts: Participant Direction
This technical assistance tool covers key issues in the development of requests for proposal (RFPs) and contract provisions related to participant-direction options in Medicaid managed LTSS (MLTSS) or integrated Medicare and Medicaid programs. (Integrated Care Resource Center)