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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 - 22 of 22

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)
Other Resource | January 2014
Medicare Advantage Network Adequacy Requirements, D-SNPs, and State Contracting Options
This document summarizes a telephone discussion among states, CMS, the National Association of Medicaid Directors, and ICRC regarding Medicare Advantage network adequacy requirements and their application to D-SNPs. (Integrated Care Resource Center)
Other Resource | December 2013
Ready, Set, Go! The Readiness Review Process for Care Coordination and Provider Network Adequacy in Five States
This report spotlights the approaches used by five states - Arizona, Minnesota, Tennessee, Texas, and Wisconsin - to ensure managed care organizations are ready to provide care coordination services to consumers and adequate access to needed long-… (AARP Public Policy Institute)
Study Hall Call | July 2012
Readiness Review for Implementation of a Medicaid Managed Long-Term Services and Supports Program
This presentation describes the readiness review process that Tennessee used with health plans participating in its Medicaid MLTSS program. (Integrated Care Resource Center)
Other Resource | July 2012
Keeping Watch: Building State Capacity to Oversee Medicaid Managed Long-Term Services and Supports
This study examines how eight state Medicaid agencies, experienced in overseeing these programs, monitor the performance of plan contractors to ensure they provide optimal care to enrollees. (AARP Public Policy Institute)
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)
Colorado State Website
This web page provides information on the Accountable Care Collaborative Medicare-Medicaid Program -- the managed fee-for-service model Financial Alignment Initiative in Colorado. (Colorado Department of Health Care Policy & Financing)

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Displaying 16 - 22 of 22

Medicare Advantage D-SNP Contract Oversight and Quality Monitoring

Medicare Advantage Network Adequacy Requirements, D-SNPs, and State Contracting Options

Ready, Set, Go! The Readiness Review Process for Care Coordination and Provider Network Adequacy in Five States

Readiness Review for Implementation of a Medicaid Managed Long-Term Services and Supports Program

Keeping Watch: Building State Capacity to Oversee Medicaid Managed Long-Term Services and Supports

Integrating Care for Medicare-Medicaid Enrollees Using a Managed Fee-for-Service Model

Colorado State Website