Helping states develop integrated programs for individuals who are dually eligible for Medicare and Medicaid
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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.
This fact sheet, updated in July 2019, summarizes default enrollment requirements and state roles in the default enrollment approval and implementation process. It also provides references to additional resources for more detail and context.
(Integrated Care Resource Center)
The Medicare Eligibility File Comparison Chart compares the source and timing of data CMS provides to states via various on-going and ad hoc file exchanges. All provide advance notice of Medicare eligibility, so can be used by the states to identify… (Centers for Medicare & Medicaid Services)
This resource is a model letter that D-SNPs have the option to use to meet CMS beneficiary notice requirements for default enrollment. All letters used will need to contain the required CMS disclaimers, materials ID and receive appropriate CMS… (Medicare-Medicaid Coordination Office)
This webinar provides a history of seamless conversion and describes the new process for default enrollment that will start in 2019. This webinar also explains states’ roles in this process, including the need to identify beneficiaries newly… (Integrated Care Resource Center)
This resource is a chart comparing the source and timing of data CMS provides to states via various on-going and ad hoc file exchanges. All provide advance notice of Medicare eligibility, so can be used by the states to identify for their plans… (Medicare-Medicaid Coordination Office)