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.
These materials including a meeting agenda, beneficiary profiles, definition of terms, dual coverage overview, and meeting evaluation were used for meetings with stakeholders.
(Washington State Health Care Authority)
This toolkit contains resources addressing strategies for identification, stratification, integration, consumer engagement, information exchange, and financial alignment linked to physical/behavioral health integration.
(Center for Health Care Strategies)
This brief describes nine core program elements that are critical for achieving high-quality, patient-centered, and cost-effective care for dually eligible beneficiaries.
(Center for Health Care Strategies)
This brief focuses on hospitalizations of Medicare-Medicaid beneficiaries who receive long-term care services in nursing facilities, participate in Medicaid home and community-based services waiver programs for the aged or disabled, or receive post-… (Centers for Medicare & Medicaid Services)
This web-based integrated care plan, developed for the Southwestern Pennsylvania Rethinking Care Program pilot, allows physical and behavioral health plans to share data with care managers.
(UPMC Health Plan)
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)
This website provides information on the Washington State Health Home Program -- the managed fee-for-service model Financial Alignment Initiative demonstration in Washington.
(Washington State Department of Social and Health Services)
These documents, including Massachusetts' 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)