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 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)
Coming Soon
For technical assistance on cost sharing protections language, please contact ICRC at ICRC@mathematica-mpr.com
(Integrated Care Resource Center)
These documents, including Illinois' 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 Ohio'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 Texas' 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 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)
This website provides information on the Demonstration to Align Administrative Functions for Improvements in Medicare-Medicaid Beneficiary Experience -- the alternative model demonstration in Minnesota.
(Minnesota Department of Human Services)
This website provides information on Healthy Connections Prime -- the capitated model Financial Alignment Initiative in South Carolina.
(South Carolina Department of Health and Human Services)
These documents, including Colorado's proposal and evaluation design plan, are posted on the Medicare-Medicaid Coordination Office's website.
(Centers for Medicare & Medicaid Services)
These documents, including Minnesota's proposal and evaluation design plan, are posted on the Medicare-Medicaid Coordination Office's website.
(Centers for Medicare & Medicaid Services)
These documents, including South Carolina'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)
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)