Helping states develop integrated programs for individuals who are dually eligible for Medicare and Medicaid
ICRC has released two new resources to help states identify both individuals who are (or who will soon be) dually eligible and dually eligible individuals who are enrolled in Dual Eligible Special Needs Plans (D-SNPs) and Medicaid managed care plans owned by the same parent company (“affiliated” plans).
This webinar provides a history of seamless conversion and describes the new process for default enrollment that will start in 2019. This webinar also explains states’ roles in this process, including the need to identify beneficiaries newly eligible for Medicare.
This webinar provides an overview of partnerships between Medicaid agencies and SHIPs in both PA and SC.
This tip sheet outlines tips for promoting aligned enrollment in states looking to integrate care for dually eligible beneficiaries using contracting strategies that maximize the opportunity for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPs) and Medicaid managed care (MMC) plans. With aligned enrollment, the beneficiary is enrolled in a D-SNP and MMC offered by the same parent company in the same geographic area (aligned plans).
This brief outlines a variety of actions that states and health plans can take to support enrollment growth in integrated care programs.
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-eligible; and (2) improve the stability and continuity of Medicare Savings Program coverage.
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 Medicare and Medicaid.