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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 421 - 435 of 569

February 2015
Measuring Long-Term Services and Supports Rebalancing
This fact sheet provides an overview of quality measures related to the rebalancing of long-term services and supports. (Kaiser Family Foundation)
Other Resource | January 2015
MassHealth Senior Care Options Contract for Senior Care Organizations by and Between the Executive Office of Health and Human Services and _
(MassHealth)
Other Resource | January 2015
Florida Agency for Health Care Administration, 2015 Standard D-SNP Contract Template, Attachment I and Appendices
(State of Florida Agency for Health Care Administration)
Study Hall Call | January 2015
Building and Validating LTSS Provider Networks
This presentation examines strategies for states establishing Medicaid MLTSS or integrated care programs to ensure that health plans develop LTSS provider networks to address beneficiaries' diverse needs. (Integrated Care Resource Center)
Other Resource | January 2015
Strategies for Training Care Coordinators/Care Managers in Integrated Health Plans
This webinar for California's Medi-Cal health plans highlights strategies for hiring and training care managers in integrated care programs. (Center for Health Care Strategies)
January 2015
Health Plan Approaches to Locating New Medicare-Medicaid Enrollees and Building Trusting Relationships
This webinar shares health plan strategies for contacting hard-to-locate Medicare-Medicaid enrollees, building relationships, and creating person-centered care plans that incorporate social service and housing needs. (Center for Health Care Strategies)
Brief | January 2015
Integrated Appeals Processes for Medicare-Medicaid Enrollees: Lessons from States
This brief explores opportunities for states to develop an integrated appeals process, whether through a D-SNP or a financial alignment demonstration. (Center for Health Care Strategies)
Other Resource | January 2015
Enrollment and Retention Flexibilities to Better Serve Medicare-Eligible Medicaid Enrollees
This CMS Informational Bulletin describes existing flexibilities that can: (1) assist states in meeting their obligations to screen Medicaid enrollees for Medicare Savings Programs and other categories of Medicaid when the enrollees become Medicare-… (Centers for Medicare & Medicaid Services)
Brief | December 2014
Measuring Up: A Novel Approach to Assessing State Oversight of Medicaid Managed Care
This brief assesses Washington State's oversight of Medicaid managed care plan performance under the state's 1915 (b) waiver by quantifying monitoring practices and comparing them to benchmarks inside and outside of Washington State. (Mathematica)
Brief | December 2014
Contacting Hard-to-Locate Medicare and Medicaid Members: Tips for Health Plans
This brief provides tips on finding hard-to-locate members from seven health plans participating in a national initiative focused on advancing health plan strategies to provide high-quality, cost-effective care for high-need populations eligible for… (Center for Health Care Strategies)
Brief | December 2014
Community-Based Organizations and MLTSS: An Issue Brief to Assess CBO Readiness
This issue brief details four considerations that community-based organizations (CBOs) need to address when assessing the feasibility of participating in a managed long-term services and supports program: (1) relevant skill set and experience; (2)… (National Association of States United for Aging and Disabilities)
Study Hall Call | November 2014
Engaging Providers in Integrated Care Programs
This presentation highlights tips for engaging providers throughout the design and implementation of integrated care programs; describes Virginia's approach to provider engagement for its financial alignment demonstration; and includes an… (Integrated Care Resource Center)
Brief | November 2014
Risk Stratification to Inform Care Management for Medicare-Medicaid Enrollees: State Strategies
This brief describes how three states - California, Ohio, and Virginia - are requiring Medicare-Medicaid Plans to stratify Medicare-Medicaid enrollees by their level of need within capitated financial alignment demonstrations. (Center for Health Care Strategies)
Brief | November 2014
Key Themes in Capitated Medicaid Managed Long-Term Services and Supports Waivers
This issue brief examines key themes in 19 capitated Medicaid MLTSS waivers approved to date by the Centers for Medicare and Medicaid Services (CMS), including section 1115 (a) demonstrations in 12 states and 1915 (b)/(c) waivers in six states. (Kaiser Family Foundation)
Study Hall Call | October 2014
Integrated Marketing Rules and Practices for Medicare and Medicaid Managed Care
This presentation provides an overview of the major differences between Medicare and Medicaid marketing requirements and opportunities for better alignment, and it also offers lessons from MassHealth's roll out of Massachusetts' integrated… (Integrated Care Resource Center)