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 presentation features promising practices for information sharing and building relationships between providers, plans, and the state of Minnesota to optimize care management.

This presentation highlights tips for engaging providers throughout the design and implementation of integrated care programs; describes Virginia's approach to provider engagement for its financial alignment demonstration; and includes an overview of Independent Care Health Plan's (iCare) approach to building provider relationships.

Examines participant direction and findings from a study of contract language by the National Resource Center for Participant-Directed Services; also describes how Massachusetts' Commonwealth Care Alliance supports members who wish to self-direct services.

This webinar explains participant direction and how it can be included in contract language; also describes how Arizona implemented consumer direction in its long-term care system.

In this presentation, an ICRC speaker describes the basic principles of MLTSS program oversight and state performance monitoring practices for Medicaid MLTSS programs. In addition, a speaker from Texas offers operational insight on oversight of the STAR+PLUS program.

This presentation describes the readiness review process that Tennessee used with health plans participating in its Medicaid MLTSS program.

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 presentation discusses successful approaches to building collaborative working relationships between states, health plans, and nursing facility providers in integrated Medicare-Medicaid programs