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Helping states develop integrated programs for individuals who are dually eligible for Medicare and Medicaid

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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.

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Resource Type

  • Brief (20)
  • Technical Assistance Tool (25)
  • Tip Sheet (18)
  • Case Study (2)
  • Webinars and Trainings (40)
    • Study Hall Call (20)
    • Working with Medicare (7)
  • E-alert (130)
    • ICRC Monthly Newsletter (62)
    • Spotlight E-alert (20)
    • Other E-alert (32)
  • Other Resource (20)

Topic

  • Integrated Care Overview (11)
    • Background on Integrated Care (2)
    • Options for Integration (2)
    • Foundational Steps (5)
  • Data for Medicare-Medicaid Integration (6)
  • Financial Alignment Demonstrations (29)
    • Capitated Model (24)
      • Enrollment (16)
    • Managed Fee-for-Service Model (3)
  • Dual Eligible Special Needs Plans (D-SNPs) (48)
    • Other Enrollment Options (3)
    • Default Enrollment (1)
    • State Contracting Strategies (13)
    • D-SNP Marketplace Changes (1)
    • Marketing and Member Materials (6)
    • Oversight and Monitoring (5)
    • Quality and Performance Measurement (5)
    • Grievances and Appeals (4)
  • Medicare Resources (9)
    • CMS Medicare Guidance, Rulemaking, and Public Comments (7)
    • Medicare Overview (2)
  • Medicaid Managed Long-Term Services and Supports (MLTSS) (20)
    • Background on Long-Term Services and Supports (2)
    • Home- and Community-Based Services (1)
    • Participant Self Direction (13)
    • Payment and Rate Setting Policy (2)
    • MLTSS Program Evaluation (1)
  • Program of All-Inclusive Care for the Elderly (PACE) (9)
  • Assessment, Care Planning, and Care Coordination (1)
  • Behavioral Health (2)
  • Overlapping Medicare and Medicaid Benefits (9)
    • Durable Medical Equipment (DME) (5)
    • Nursing Facility (3)
    • Behavioral Health (1)
  • Beneficiary Engagement, Counseling, and Support (6)
  • Provider Engagement (2)
  • Value-Based Payment (VBP) (3)

Author

  • Integrated Care Resource Center (117)
  • Centers for Medicare & Medicaid Services (26)
  • Assistant Secretary for Planning and Evaluation (2)
  • Center for Health Care Strategies (1)
  • Centers for Medicare & Medicaid Services/Minnesota Department of Human Services (1)
  • Colorado Department of Health Care Policy & Financing (1)
  • Infocrossing (1)
  • Mathematica (1)
  • Medicaid and CHIP Payment and Access Commission (1)
  • National PACE Association (1)
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