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.
This resource is a model letter that D-SNPs have the option to use to meet CMS beneficiary notice requirements for default enrollment. All letters used will need to contain the required CMS disclaimers, materials ID and receive appropriate CMS… (Medicare-Medicaid Coordination Office)
This resource is a chart comparing the source and timing of data CMS provides to states via various on-going and ad hoc file exchanges. All provide advance notice of Medicare eligibility, so can be used by the states to identify for their plans… (Medicare-Medicaid Coordination Office)
This report provides preliminary data for the first 18 months of Washington's managed fee-for-service demonstration. It includes a description of the demonstration model, preliminary findings on eligibility and enrollment in the demonstration,… (RTI International)
This evaluation of the second year of the Initiative reports rates of all-cause hospitalizations and potentially avoidable hospitalizations, as well as Medicare expenditures for participating sites relative to a comparison group.