Other Resource

The ability to direct and manage their own services and supports is important to many individuals who need the home- and community-based services (HCBS) provided through state Medicaid programs. These self-directed models may also be known as "consumer direction" and "participant direction" when referring to specific states' programs. In these models, individuals direct many or all of their own HCBS, including selecting and managing direct service workers and/or managing a budget (known in some states as a service cost maximum) for needed services.

This document describes the benefits of daily data exchanges with CMS. It also provides technical FAQs on buy-in data exchanges.

This presentation was created for meetings with stakeholders.

These materials including a meeting agenda, beneficiary profiles, definition of terms, dual coverage overview, and meeting evaluation were used for meetings with stakeholders.

This case study describes the early implementation of Virginia's capitated financial alignment demonstration.

This case study describes the early implementation of Ohio's capitated financial alignment demonstration.

This United Hospital Fund report focuses on measuring quality of care for Medicaid beneficiaries with complex needs, including those with multiple chronic conditions, behavioral health conditions, and long-term care needs, including dual eligibles.

This fact sheet provides a basic overview of the FIDA demonstration program for consumers.

Meeting Agenda, Timeline, Map of Health Plan Options by County, Reimbursement Rates, Performance Measurement, Enrollment Data, Health Plan Presentations: PrimeWest, Cornerstone, UCare, South Country Health Alliance, Medica.

This report offers recommendations for developing risk adjustment and rate-setting mechanisms to reinforce the goals of care integration.