States seeking to integrate Medicare and Medicaid services for dually eligible beneficiaries need to consider a variety of issues in program design and implementation such as incorporating behavioral health and long-term services and supports, consumers and providers engagement, and linking Medicare and Medicaid data. Use the filter below to view resources related to these and other topics.
This resource was updated in April 2025 to include new definitions for several key terms related to Medicare Advantage, such as “plan benefit package,” “supplemental benefits,” and “crosswalks/crosswalk exceptions." This tool also includes updated… (Integrated Care Resource Center)
This technical assistance tool is the last in a series of four tools that provide sample State Medicaid Agency Contract (SMAC) language that states can use in contracts with D-SNPs to meet federal requirements and advance state goals regarding care… (Integrated Care Resource Center)
This webinar provides an overview of the Medicare program—including Medicare eligibility, benefits, and coverage options—and discuss how Medicare and Medicaid benefits overlap and interact for dually eligible individuals. The webinar is especially… (Integrated Care Resource Center)
This document presents plan and state-level enrollment in three types of integrated care plans/programs that operate with exclusively aligned enrollment:
Medicare-Medicaid Plans (MMPs) that operate within demonstrations offered under the Financial… (Integrated Care Resource Center)
This webinar builds on ICRC’s Fall 2023 introductory D-SNP quality oversight and improvement tip sheet and webinar, focusing on how states can improve the quality of LTSS and behavioral health services.
Learning Objectives: By… (Integrated Care Resource Center)
This technical assistance tool is the first in a series of four tools that provide sample State Medicaid Agency Contract (SMAC) language that states can use in contracts with D-SNPs to meet federal requirementsand advance state goals regarding care… (Integrated Care Resource Center)
This technical assistance tool is the second in a series of four tools that provide sample State Medicaid AgencyContract (SMAC) language that states can use in contracts with D-SNPs to meet federal requirements and advance state goals regarding care… (Integrated Care Resource Center)
This technical assistance tool is the third in a series of four tools that provide sample State Medicaid Agency Contract (SMAC) language that states can use in contracts with D-SNPs to meet federal requirements and advance state goals regarding care… (Integrated Care Resource Center)
This webinar provides an overview of Medicare and Medicaid behavioral health benefits (including mental health and substance use disorder benefits) for dually eligible individuals. It includes a summary of recent expansion of Medicare coverage of… (Integrated Care Resource Center)
This webinar describes the opportunity for states to require Dual Eligible Special Needs Plans (D-SNPs) that operate with exclusively aligned enrollment to establish contracts with the Centers for Medicare & Medicaid Services (CMS) that only… (Integrated Care Resource Center)
This technical assistance tool is part of a series of tools that provide sample State Medicaid Agency Contract (SMAC) language that states can use in contracts with D-SNPs to meet federal requirements and advance state goals regarding care… (Integrated Care Resource Center)
This calendar of key Medicare Advantage (MA) dates was developed to assist states in the development and implementation of integrated care programs for people dually eligible for Medicare and Medicaid. The dates and information in this calendar are… (Integrated Care Resource Center)
To operate in a state, a Dual Eligible Special Needs Plan(D-SNP) must hold a contract with the state Medicaid agency. Those state Medicaid agency contracts (SMACs) must all have at least certain minimum elements, and states can also add additional… (Integrated Care Resource Center)
This webinar describes the Medicare resources available to states to monitor D-SNP performance and provide tips for states on incorporating D-SNPs into Medicaid quality improvement activities.
Learning Objectives: By the end of this… (Integrated Care Resource Center)
This webinar discusses strategies states can use to encourage enrollment in integrated care programs, including communicating the value of integrated care to dually eligible individuals through direct outreach and education, partnering with SHIPs… (Integrated Care Resource Center)