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 second edition of the scorecard measures state-level performance on five dimensions: (1) affordability and access; (2) choice; (3) quality; (4) support for family caregivers; and (5) effective transitions.
(AARP Public Policy Institute)
This presentation provides information about the Medicaid HCBS Final Rule along with tools and resources for state advocates to assist with implementation.
(National Council on Aging)
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)
The Medicare-Medicaid Linked Enrollee Analytic Data Source (MMLEADS) provides all Medicare and Medicaid enrollment and claims data for dually eligible beneficiaries. This comprehensive suite of annual, calendar year data files contains Medicare… (ResDAC)
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)
This webinar details RTI's evaluation of state demonstrations under the Financial Alignment Initiative, including a review of the State Data Reporting System and the "finder file" for the evaluation.
(Integrated Care Resource Center)
This brief outlines challenges caused by the overlap in Medicare and Medicaid coverage for home health services and durable medical equipment and describes options for addressing these issues in the Financial Alignment Initiative and other… (Integrated Care Resource Center)
This brief highlights best practices in disease management/care management programs and considers ways in which states can incorporate them into integrated care models like CMS’ Financial Alignment Initiative for Medicare-Medicaid… (Integrated Care Resource Center)
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)
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)
This document summarizes a telephone discussion among states, CMS, the National Association of Medicaid Directors, and ICRC regarding D-SNP non-renewals, service area changes, terminations, new entries, seamless conversions, and passive enrollment.
(Integrated Care Resource Center)
This brief reviews the quality measures chosen by eight states taking part in CMS' capitated model financial alignment demonstrations as of December 2013.
(The Commonwealth Fund)
This brief describes early efforts in four states to improve integration of behavioral health services for Medicare-Medicaid beneficiaries.
(Center for Health Care Strategies)
This tool outlines CMS’ requirements and state contracting options under a variety of situations affecting D-SNPs.
(Integrated Care Resource Center)