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 case study highlights a chronic conditions special needs plan (C-SNP) for Medicare and dual eligible beneficiaries with serious mental illness that integrates physical and behavioral health services for enrollees.
(Center for Health Care Strategies)
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 report provides an overview of LTSS, the risks and benefits of Medicaid MLTSS, policy recommendations and promising practices from states that have implemented these programs.
(Community Catalyst)
This policy brief summarizes the terms of Massachusetts' MOU in the several key areas, including enrollment, care delivery model, benefits, financing, beneficiary protections and monitoring and evaluation.
(Kaiser Family Foundation)
This background paper examines the contents of states' proposals in the areas of target population, implementation date, enrollment, financing, benefits, beneficiary protections, stakeholder engagement, and demonstration evaluation.
(Kaiser Family Foundation)
This paper gives an overview of the proposals submitted by states to test two models to align Medicare and Medicaid benefits and financing for dually eligible beneficiaries with the goal of delivering better coordinated care and reducing costs.
(Kaiser Family Foundation)
This presentation describes California's current stakeholder engagement process, plans for on-going advisory groups, and ways to solicit on-going feedback.
(California Department of Health Care Services)
This report examines the implementation of the expansion of California's Medicare managed care population to include seniors and people with disabilities.
(California Health Care Foundation)
This report examines the contract requirements adopted by Medi-Cal, including a comparison with contracting recommendations made through an earlier multi-stakeholder collaborative process, and the state's rationale for contracting decisions.
(California HealthCare Foundation)
This presentation describes the readiness review process that Tennessee used with health plans participating in its Medicaid MLTSS program.
(Integrated Care Resource Center)
This chart lists the population groups that are enrolled in current MLTSS programs, as well as those projected to be enrolled in future MLTSS programs.
(Truven Health Analytics)
This study examines how eight state Medicaid agencies, experienced in overseeing these programs, monitor the performance of plan contractors to ensure they provide optimal care to enrollees.
(AARP Public Policy Institute)