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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.

Displaying 76 - 90 of 542

Technical Assistance Tool | June 2020
Integrated Appeal and Grievance Processes for Integrated D-SNPs with “Exclusively Aligned Enrollment”
On April 16, 2019, CMS released a final rule that implements provisions of the 2018 Bipartisan Budget Act (BBA) requiring greater D-SNP integration, including integrated plan-level appeal and grievance processes for certain “applicable integrated… (Integrated Care Resource Center)
ICRC Monthly Newsletter | June 2020
Integrated Care Updates- June 2020
Spotlight E-alert | June 2020
Spotlight: New Interoperability and Patient Access Rule Will Affect Dually Eligible Individuals
ICRC Monthly Newsletter | June 2020
Integrated Care Updates- May 2020
Spotlight E-alert | June 2020
New Interoperability and Patient Access Rule Will Affect Dually Eligible Individuals
Other Resource | June 2020
Dual Eligible Special Needs Plan (D-SNP) “Look-Alike” Transitions for Contract Year (CY) 2021
This memo provides information to Medicare Advantage organizations regarding the opportunity to transition enrollees in Dual Eligible Special Needs Plan (D-SNP) “look-alikes” for CY 2021. (Centers for Medicare & Medicaid Services)
Other Resource | May 2020
Data Analysis Brief: Managed Care Enrollment Trends among Dually Eligible and Medicare-only Beneficiaries, 2006 through 2018
This analysis examines trends in enrollment and eligibility for Medicare-Medicaid enrollees. (Centers for Medicare & Medicaid Services)
Spotlight E-alert | May 2020
Spotlight: Contract Year 2021 Medicare Advantage and Part D First Final Rule
Other E-alert | May 2020
New CMS Guidance and Resources for States and Health Plans Related to COVID19
Other Resource | May 2020
Contract Year 2021 Models for Applicable Integrated Plans: 'Letter about Your Right to Make a Fast Complaint' and 'Appeal Decision Letter'
This CMS memorandum describes the final Contract Year 2021 model notices for Dual Eligible Special Needs Plans that are applicable integrated plans, "Letter about Your Right to Make a Fast Complaint" and "Appeal Decision Letter", which are both… (Centers for Medicare & Medicaid Services)
Other Resource | May 2020
Updated Guidance for Medicare Advantage Organizations
This memo provides answers to questions related to two CMS memos released on April 21 and April 23 for Medicare Advantage and Part D plans (including D-SNPs and Medicare-Medicaid Plans (MMPs)) describing guidance for plans related to the COVID-19… (Centers for Medicare & Medicaid Services)
Technical Assistance Tool | May 2020
Sample Language for State Medicaid Agency Contracts with Dual Eligible Special Needs Plans
As of 2021, the contracts that Dual Eligible Special Needs Plans (D-SNPs) have with state Medicaid agencies must include not just the elements specified by the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008, but also new … (Integrated Care Resource Center)
ICRC Monthly Newsletter | April 2020
Integrated Care Updates - April 2020
Dear State Colleague | April 2020
Webinar Resources | Coordination of Medicare and Medicaid Behavioral Health Benefits
Spotlight E-alert | April 2020
CMS Updates Processes for D-SNPs Implementing CY 2021 Medicare-Medicaid Integration and Unified Appeals and Grievance Requirements in Response to COVID-19: Clarification on Direct Contracts with States