Medicare Resources

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

Integrated Care Updates - March 2020

March 2020 Update Content:

  • CMS Corona Virus (COVID-19) Partner Toolkit and Electronic Mailing List
  • Dual Eligible Special Needs Plans (D-SNPs) Entries and Departures
  • MedPAC March Report to the Congress: Issues Related to Integrated Care
  • Key 2020 Medicare Dates
  • March 2020 Enrollment in Medicare-Medicaid Plans
  • March 2020 Enrollment in PACE Organizations
  • New Resources on the ICRC Website

Spotlight: New Interoperability and Patient Access Rule Will Affect Dually Eligible Individuals

On March 9, the Centers for Medicare & Medicaid Services (CMS) issued the Interoperability and Patient Access final rule (CMS-9115-F), which is designed to improve patient access to their health information, improve interoperability and encourage innovation, while reducing burden on payers and providers. Two provisions will specifically affect dually eligible individuals (see Section VII, Improving the Medicare-Medicaid Dually Eligible Experience by Increasing the Frequency of Federal-State Data Exchanges, and final changes to regulatory text in Parts 406, 407, and 423).

Coordination of Medicare and Medicaid Behavioral Health Benefits

Working with Medicare
4/15/20

This webinar provides an overview of Medicare and Medicaid behavioral health benefits (including mental health and substance use disorder benefits) for dually eligible individuals and opportunities to improve coordination in integrated care programs. It includes a summary of the new Medicare Opioid Treatment Benefit and implications for state Medicaid programs, as well as information about state options for covering treatment services in Institutions for Mental Diseases (IMDs).

 

Learning Objectives: By the end of this presentation, attendees are able to:

Integrated Care Updates - January 2020

January 2020 Contents:

  • New ICRC Flow Charts Compare Existing and New Unified Appeals and Grievance Processes for Individuals Enrolled in Applicable Integrated D-SNPs
  • CMS Releases Additional Guidance on D-SNP Integration Requirements
  • CMS Releases the 2021 Medicare Advantage Advance Notice
  • MACPAC Considers Policy Options to Better Integrate Care for Dually Eligible Individuals
  • January 2020 Enrollment in Medicare-Medicaid Plans 
  • January 2020 Enrollment in PACE Organizations 
  • Key Upcoming Dates

CMS Releases Additional Guidance on D-SNP Integration Requirements

On January 17, 2020, the Centers for Medicare & Medicaid Services (CMS) issued additional guidance and clarification on four topics related to CY2021 requirements for Dual Eligible Special Needs Plans (D-SNPs). The guidance follows on an October 2019 an HPMS memo summarizing the new D-SNP requirements and providing guidance on contract and operational changes needed for CY2021.

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