Data for Medicare-Medicaid Integration

Integrated Care Updates- July 2020

MedPAC Data Book on Medicare Spending

New ICRC Tools Help States Identify Dually Eligible Individuals and Aligned Enrollees

Want to Know More about the Dually Eligible Individuals in Your State? Request a State Data Profile

July 2020 Enrollment in Medicare-Medicaid Plans

July 2020 Enrollment in PACE Organizations

New Resources on the ICRC Website

Key Upcoming Dates

Webinar: How to Use Publicly Available Data on the Dually Eligible Population in Conjunction with SDRC Data

On Thursday, July 9, 2020 from 3:00-4:00 p.m. ET, the State Data Resource Center (SDRC) will host a webinar entitled “How to Use Publicly Available Data on the Dually Eligible Population in Conjunction with SDRC Data.” This webinar will provide states with information about the publicly available Medicare data that states can use to develop an insight into their dually eligible beneficiary population. SDRC will also cover how this publicly available data can be used in conjunction with the SDRC data.

Using Medicare Modernization Act (MMA) Files to Identify Dually Eligible Individuals

States need to be able to identify individuals who are (or will become) dually eligible for several reasons. Since 2005, states have exchanged files  -- known as the Medicare Modernization Act (MMA) files -- with the Centers for Medicare & Medicaid Services (CMS) that identify current and prospective dually eligible individuals. This technical assistance tools explains how states can identify Medicaid enrollees who are currently dually eligible, as well as Medicaid enrollees who will become dually eligible in the next three months (known as “prospective” dually eligible individuals) tho

State Guide to Identifying Aligned Enrollees: How to Find Medicare Plan Enrollment for Dually Eligible Individuals in Medicaid Managed Care Plans

States can advance integrated care for dually eligible individuals by promoting aligned enrollment in Medicare Advantage Dual Eligible Special Needs Plans (D-SNPs) and Medicaid managed care plans owned by the same parent company (“affiliated” plans). Dually eligible individuals who receive Medicare and Medicaid coverage from affiliated plans can benefit from improved integration of benefits and care coordination.