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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 91 - 105 of 111

January 2013
Identifying and Selecting Long-Term Services and Supports Outcome Measures
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)
November 2012
Putting Consumers First: Promising Practices for Medicaid Managed Long-Term Services and Supports
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)
October 2012
State Demonstrations to Integrate Care and Align Financing for Dual Eligible Beneficiaries: A Review of the 26 Proposals Submitted to CMS
This background paper examines the contents of states' proposals in the areas of target population, implementation date, enrollment, financing, benefits, beneficiary protections, stakeholder engagement, and demonstration evaluation. (Kaiser Family Foundation)
October 2012
Explaining the State Integrated Care and Financial Alignment Demonstrations for Dual Eligible Beneficiaries
This paper gives an overview of the proposals submitted by states to test two models to align Medicare and Medicaid benefits and financing for dually eligible beneficiaries with the goal of delivering better coordinated care and reducing costs. (Kaiser Family Foundation)
Webinars and Trainings | August 2012
Training Strategies and Lessons Learned
July 2012
Population Groups Enrolled in Managed Long Term Services and Supports
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)
July 2012
Development of Quality Indicators for the Home and Community-Based Services Population: Technical Report
This report details development of quality indicators for individuals receiving home- and community-based services. (Agency for Healthcare Research and Quality)
Brief | May 2012
Medicaid Rate-Setting Strategies to Promote Home- and Community-Based Services
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)
Brief | April 2012
An Update on CMS's Capitated Financial Alignment Demonstration Model for Medicare-Medicaid Enrollees
This policy brief describes the capitated financial alignment demonstration model, including information on financing, enrollment, provider network adequacy, medical necessity determinations, appeals, and quality and oversight. (Kaiser Family Foundation)
Brief | February 2012
Integrating Care for Medicare-Medicaid Enrollees Using a Managed Fee-for-Service Model
This brief reviews primary care case management and related models to gather insights into key program design elements in managed fee-for-service models. (Integrated Care Resource Center)
Brief | February 2012
People with Disabilities and Medicaid Managed Care: Key Issues to Consider
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)
February 2012
Guiding Principles: Successfully Enrolling People with Disabilities in Managed Care Plans
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)
February 2012
Analysis and Recommendations for the Implementation of Managed Care in Medicaid and Medicare Programs for People with Disabilities
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)
January 2012
Capitated Financial Alignment Model Plan Guidance
This memo provides guidance to organizations interested in offering capitated financial alignment demonstration plans. (Centers for Medicare & Medicaid Services)
Other Resource | December 2011
Measurement Opportunities & Gaps: Transitional Care Processes and Outcomes Among Adult Recipients of Long-Term Services and Supports
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)