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 presentation describes the objectives of the rate setting process, basic approach, rate structure, and risk mitigation strategies and provides state examples.
(Integrated Care Resource Center)
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)
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)
This memo provides guidance to organizations interested in offering capitated financial alignment demonstration plans.
(Centers for Medicare & Medicaid Services)
Coming Soon
For technical assistance on cost sharing protections language, please contact ICRC at ICRC@mathematica-mpr.com
(Integrated Care Resource Center)
The CalDuals website provides information on Cal MediConnect -- the capitated model Financial Alignment Initiative in California.
(California Department of Health Care Services)
This website provides information on the MI Health Link -- the capitated model Financial Alignment Initiative in Michigan.
(Michigan Department of Health and Human Services)
This website provides information on the Integrated Care Initiative: Phase 2 -- the capitated model Financial Alignment Initiative in Rhode Island.
(Rhode Island Executive Office of Health and Human Services)
These documents, including California's proposal, three-way contract, readiness review tool, and evaluation design plan, are posted on the Medicare-Medicaid Coordination Office's website.
(Centers for Medicare & Medicaid Services)
These documents, including Michigan's proposal, three-way contract, readiness review tool, and evaluation design plan, are posted on the Medicare-Medicaid Coordination Office's website.
(Centers for Medicare & Medicaid Services)
These documents, including Rhode Island's proposal, three-way contract, readiness review tool, and evaluation design plan, are posted on the Medicare-Medicaid Coordination Office's website.
(Centers for Medicare & Medicaid Services)
This website provides information on One Care -- the capitated model Financial Alignment Initiative in Massachusetts.
(Massachusetts Executive Office of Health and Human Services)
New York States has two websites for its two different capitated model Financial Alignment Initiative demonstrations:
Fully Integrated Duals Advantage (FIDA); and
Fully Integrated Duals Advantage for Individuals with Intellectual and… (New York State Department of Health)