Integrated Care Activities

  • Financial Alignment Demonstration: Capitated model
    Dual Eligible Special Needs Plan Contracting: Yes
    Medicaid Managed Long-Term Services: Yes
    Approved Medicaid Health Home: No
    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 Texas' 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)
  • Brief

    Communicating Early Results of Integrated Care Efforts for Dually Eligible Individuals: State Approaches

    This brief describes approaches that states have used to communicate early integrated care program results. Strategies discussed include developing program indicator dashboards, disseminating beneficiary experience data, and sharing success stories. (Center for Health Care Strategies)
    Topic: Capitated Model, Quality and Performance Measurement, Beneficiary Engagement, Counseling, and Support, Provider Engagement
  • Other Resource

    Ready, Set, Go! The Readiness Review Process for Care Coordination and Provider Network Adequacy in Five States

    This report spotlights the approaches used by five states - Arizona, Minnesota, Tennessee, Texas, and Wisconsin - to ensure managed care organizations are ready to provide care coordination services to consumers and adequate access to needed long-term services and supports providers. (AARP Public Policy Institute)
    Topic: Oversight and Monitoring, Provider Network Adequacy
  • Other Resource

    Toward a More Perfect Union: Creating Synergy Between the Money Follows the Person and Managed Long-Term Services and Supports Programs

    This report examines how five states have structured the interface between MFP demonstration grants and Managed long-term services and supports (MLTSS) programs to promote transitions from institutional care to home- and community-based settings. (Mathematica)
    Topic: Background on Long-Term Services and Supports
  • Brief

    Integrating Behavioral and Physical Health for Medicare-Medicaid Enrollees: Lessons for States Working With Managed Care Delivery Systems

    This brief explores the experience of six states that have achieved varying levels of behavioral health and physical health integration or collaboration for dually eligible beneficiaries within a managed care environment. It describes: (1) opportunities for explicit state action and requirements to push development of integration components; and (2) opportunities for states to signal the importance of integration elements while providing flexibility to allow plans to innovate. (Integrated Care Resource Center)
    Topic: Behavioral Health