Study Hall Call

This webinar provides an overview of two health plans' approaches to Medicare-Medicaid value based purchasing (VBP) with nursing facilities. The presentation also features a panel discussion on Medicare-Medicaid nursing facility VBP with discussants from health plans, state Medicaid departments, and nursing facilities from Arizona and Minnesota.

This webinar discusses the changes to the Medicare enrollment periods taking effect January 1, 2019, including the updated Special Enrollment Periods (SEPs) for dually eligible beneficiaries contained in the CMS Part C/D final rule released on April 2, 2018, and how states and state enrollment brokers can determine the appropriate SEP for each beneficiary, and which SEP to use when a beneficiary is eligible for multiple SEPs.

This webinar features an overview of MLTSS rate setting basics, shares initial findings from a project on Medicaid MLTSS rate setting, and also includes a facilitated discussion with an expert actuary and state representatives from Tennessee and Texas.

This webinar details RTI's evaluation of state demonstrations under the Financial Alignment Initiative, including a review of the State Data Reporting System and the "finder file" for the evaluation.

This presentation introduces state enrollment staff to a tool to help prioritize transaction reply codes and simplify enrollment reconciliation.

This webinar describes the retroactive submission process, including how to use CMS' Electronic Retroactive Processing Transmission (eRPT) application to transmit enrollment transactions to the Retroactive Processing Contractor.

This webinar provides an overview of partnerships between Medicaid agencies and SHIPs in both PA and SC.

This webinar describes an opportunity identify prospective Medicare-Medicaid enrollees for enrollment into capitated financial alignment demonstrations and provides perspectives from Massachusetts and Michigan on states' use of this process. Related Resource

This webinar discusses strategies to increase and sustain enrollment into Medicare-Medicaid Plans, including on-going passive enrollment of newly dually eligible individuals and deeming and rapid-re-enrollment strategies to retain coverage for short-term loss of Medicaid.

This webinar features state experiences using data-driven strategies to analyze opt-outs and engage beneficiaries and providers in financial alignment demonstrations.