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 document provides a summary of the ten key elements that CMS expects to see incorporated into new and existing state Medicaid MLTSS programs.
(Centers for Medicare & Medicaid Services)
This document describes the ten key elements that CMS expects to see incorporated into new and existing state Medicaid MLTSS programs.
(Centers for Medicare & Medicaid Services)
This brief provides suggestions for designing and implementing integrated care initiatives that are of high quality, offer attractive benefits and services, and provide easy-to-understand education, outreach, and marketing information. It also… (Integrated Care Resource Center)
This brief examines key policy and operational considerations related to the transition from fee-for-service to risk-based capitated managed care for LTSS.
(Kaiser Family Foundation)
This webinar explains participant direction and how it can be included in contract language; also describes how Arizona implemented consumer direction in its long-term care system.
(Integrated Care Resource Center)
This technical assistance tool provides states with options to evaluate health plans' past performance as they consider those plans for participation in their integrated Medicare-Medicaid programs.
(Integrated Care Resource Center)
This brief provides basic information on Medicare Part D, including how beneficiaries are enrolled in Part D, how Part D drugs are paid for, what drugs are and are not covered in Part D, how drug utilization is managed in Part D, and how the Part D… (Integrated Care Resource Center)
Chapter 5 of this report to Congress examines rate setting in capitated integrated care programs including PACE.
(Medicaid and CHIP Payment and Access Commission)
This reports outlines a strategy or "roadmap" for evaluating the quality and person-centeredness of integrated care.
(National Committee for Quality Assurance)
The National Resource Center for Participant-Directed Services explains participant direction and how it can be included in contract language, and staff from the Arizona Health Care Cost Containment System give an example of how Arizona implemented… (Integrated Care Resource Center)
This report examines how five states have structured the interface between MFP demonstration grants and Managed long-term services and supports (MLTSS) programs to promote transitions from institutional care to home- and community-based settings.
(Mathematica)
This presentation highlights new data, promising care delivery models, and policies intended to support integrated medical care, behavioral health care, and long-term services and supports for Medicare beneficiaries with serious mental illness.
(The SCAN Foundation)