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Helping states develop integrated programs for individuals who are dually eligible for Medicare and Medicaid

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    • Getting Started with Medicare-Medicaid Integration
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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.

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Resource Type

  • Brief (6)
  • Technical Assistance Tool (13)
  • Tip Sheet (8)
  • Webinars and Trainings (13)
    • Study Hall Call (5)
    • Working with Medicare (2)
  • Other Resource (12)

Topic

  • Integrated Care Overview (16)
    • Background on Integrated Care (2)
    • Options for Integration (5)
    • Foundational Steps (8)
  • Data for Medicare-Medicaid Integration (10)
  • Financial Alignment Demonstrations (38)
    • Capitated Model (31)
      • Enrollment (19)
    • Managed Fee-for-Service Model (3)
  • (-) Dual Eligible Special Needs Plans (D-SNPs) (53)
    • Other Enrollment Options (4)
    • Default Enrollment (4)
    • State Contracting Strategies (18)
    • FIDE SNPs (5)
    • D-SNP Marketplace Changes (2)
    • Marketing and Member Materials (5)
    • Oversight and Monitoring (6)
    • Quality and Performance Measurement (8)
    • Grievances and Appeals (5)
  • Medicare Resources (11)
    • CMS Medicare Guidance, Rulemaking, and Public Comments (7)
    • Medicare Overview (4)
  • Medicaid Managed Long-Term Services and Supports (MLTSS) (23)
    • Background on Long-Term Services and Supports (3)
    • Home- and Community-Based Services (1)
    • Participant Self Direction (13)
    • Payment and Rate Setting Policy (3)
    • MLTSS Program Evaluation (2)
  • Program of All-Inclusive Care for the Elderly (PACE) (10)
  • Assessment, Care Planning, and Care Coordination (3)
  • Behavioral Health (5)
  • Overlapping Medicare and Medicaid Benefits (10)
    • Durable Medical Equipment (DME) (5)
    • Nursing Facility (4)
    • Behavioral Health (1)
  • Beneficiary Engagement, Counseling, and Support (7)
  • Provider Engagement (4)
  • Value-Based Payment (VBP) (2)

Author

  • Integrated Care Resource Center (37)
  • Centers for Medicare & Medicaid Services (9)
  • Center for Health Care Strategies (3)
  • Medicare-Medicaid Coordination Office (2)
  • Centers for Medicare & Medicaid Services/Minnesota Department of Human Services (1)
  • The Commonwealth Fund (1)
Keyword
  • (-) Dual Eligible Special Needs Plans (D-SNPs)

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