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 webinar provides a history of seamless conversion and describes the new process for default enrollment that will start in 2019. This webinar also explains states’ roles in this process, including the need to identify beneficiaries newly… (Integrated Care Resource Center)
This tip sheet outlines tips for promoting aligned enrollment in states looking to integrate care for dually eligible beneficiaries using contracting strategies that maximize the opportunity for Medicare Advantage Dual Eligible Special Needs… (Integrated Care Resource Center)
This brief describes the ongoing problem of improper billing of protected dually eligible beneficiaries for Medicare cost-sharing and describes steps states and health plans can take to address it.
(Integrated Care Resource Center)
This brief outlines a variety of actions that states and health plans can take to support enrollment growth in integrated care programs.
(Integrated Care Resource Center)
This brief describes key considerations for developing interdisciplinary care teams and explores how eight states addressed issues such as engaging providers and measurement approaches.
(Center for Health Care Strategies)
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)
This presentation features promising practices for information sharing and building relationships between providers, plans, and the state of Minnesota to optimize care management.
(Integrated Care Resource Center)
This brief identifies opportunities for states and their contracting plans that serve Medicare-Medicaid enrollees to better align Medicare and Medicaid coverage of care management using Medicare's new chronic care management payment.
(Integrated Care Resource Center)
This brief offers tips to states on engaging a range of providers who serve Medicare-Medicaid enrollees in managed care systems and provides examples of approaches employed by states that have already launched integrated care programs.
(Integrated Care Resource Center)
This CMS Informational Bulletin describes existing flexibilities that can: (1) assist states in meeting their obligations to screen Medicaid enrollees for Medicare Savings Programs and other categories of Medicaid when the enrollees become Medicare-… (Centers for Medicare & Medicaid Services)
This brief provides tips on finding hard-to-locate members from seven health plans participating in a national initiative focused on advancing health plan strategies to provide high-quality, cost-effective care for high-need populations eligible for… (Center for Health Care Strategies)
This presentation highlights tips for engaging providers throughout the design and implementation of integrated care programs; describes Virginia's approach to provider engagement for its financial alignment demonstration; and includes an… (Integrated Care Resource Center)
This brief provides tips to help states engage providers in designing, implementing, and overseeing a managed care delivery system for individuals with complex care needs.
(Center for Health Care Strategies)