Integrated Care Activities

  • Financial Alignment Demonstration: Capitated model
    FIDA demo ended 12/31/19; FIDA IDD model continues*
    Dual Eligible Special Needs Plan Contracting: Yes
    Medicaid Managed Long-Term Services: Yes
    Approved Medicaid Health Home: Yes
    Program of All-Inclusive Care for the Elderly (PACE): Yes

Related Resources

  • Other Resource

    State and County Data File, 2012

    The most recent demographic, enrollment, and expenditure data for dually eligible beneficiaries is in the zip file "State and County Data File 2012" found on the Medicare-Medicaid Coordination Office website. Additional data and statistical resources for the years 2007, 2008, 2009, and 2011 can be found in the Medicare-Medicaid Enrollee State Profiles. See also Defining Medicare-Medicaid Enrollees in CMS Data Sources. (Centers for Medicare & Medicaid Services)
    Topic: Data for Medicare-Medicaid Integration
  • Other Resource

    Key Demonstration Documents on the MMCO Website

    These documents, including New York's proposal, three-way contract, readiness review tool, and evaluation design plan, are posted on the Medicare-Medicaid Coordination Office's website. (Centers for Medicare & Medicaid Services)
  • Other Resource

    New York State Websites

    New York States has two websites for its two different capitated model Financial Alignment Initiative demonstrations: Fully Integrated Duals Advantage (FIDA); and  Fully Integrated Duals Advantage for Individuals with Intellectual and Developmental Disabilities (FIDA-IDD). (New York State Department of Health)
  • Brief

    Integrated Appeals Processes for Medicare-Medicaid Enrollees: Lessons from States

    This brief explores opportunities for states to develop an integrated appeals process, whether through a D-SNP or a financial alignment demonstration. (Center for Health Care Strategies)
    Topic: Capitated Model, Grievances and Appeals
  • Brief

    Interdisciplinary Care Teams for Medicare-Medicaid Enrollees: Considerations for States

    This brief describes key considerations for developing interdisciplinary care teams and explores how eight states addressed issues such as engaging providers and measurement approaches. (Center for Health Care Strategies)
    Topic: Assessment, Care Planning, and Care Coordination, Provider Engagement
  • Brief

    Moving Toward Value-Based Payment for Medicaid Behavioral Health Services

    This brief describes how innovative states and Medicaid managed care organizations are building on models developed for physical health services and incorporating value-based purchasing arrangements into behavioral health programs. (Center for Health Care Strategies)
    Topic: Behavioral Health
  • Other Resource

    Introducing FIDA: New York State's Fully Integrated Duals Advantage (FIDA) Program

    This fact sheet provides a basic overview of the FIDA demonstration program for consumers. (New York State Department of Health)
  • Other Resource

    Measuring Quality for Complex Medicaid Beneficiaries in New York State

    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. (United Hospital Fund)