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Brief | May 2025
Using Default Enrollment to Align Coverage for Dually Eligible Medicare-Medicaid Beneficiaries
States can allow or require D-SNPs that meet certain requirements to use default enrollment to align Medicare and Medicaid coverage for dually eligible individuals. Under default enrollment, D-SNPs may automatically enroll individuals who are… (Integrated Care Resource Center)
Technical Assistance Tool | May 2025
Key 2025 Medicare Advantage Dates
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)
Technical Assistance Tool | April 2025
Glossary of Terms Related to Integrated Care for Dually Eligible Individuals
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)
Technical Assistance Tool | January 2025
Sample Language for State Medicaid Agency Contracts with Dual Eligible Special Needs Plans (D-SNPs): Optional Language Applicable to Certain D-SNPs
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)
Technical Assistance Tool | June 2025
Monthly Integrated Care Exclusively Aligned Enrollment Report: Dually Eligible Individuals Enrolled in Medicare-Medicaid Plans (MMPs), Programs of All-Inclusive Care for the Elderly (PACE), and Applicable Integrated Plans (AIPs)
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)
Working with Medicare | June 2025
Working with Medicare: An Introduction to Dual Eligibility
This webinar will be especially helpful to state Medicaid agency staff who (1) are new to working with dually eligible individuals or (2) wish to better understand the different types of dual eligibility and the ways in which different groups of… (Integrated Care Resource Center)
Working with Medicare | April 2025
Working with Medicare: Medicare 101
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)
Webinars and Trainings | February 2025
Quality Improvement for D-SNP Enrollees Using Behavioral Health Services or Long-Term Services and Supports (LTSS)
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)
Technical Assistance Tool | January 2025
Sample Language for State Medicaid Agency Contracts with Dual Eligible Special Needs Plans (D-SNPs): Requirements for All D-SNPs
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)
Technical Assistance Tool | January 2025
Sample Language for State Medicaid Agency Contracts with Dual Eligible Special Needs Plans (D-SNPs): Requirements for Certain Types of D-SNPs
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)
Technical Assistance Tool | January 2025
Sample Language for State Medicaid Agency Contracts with Dual Eligible Special Needs Plans (D-SNPs): Optional Language Applicable to All D-SNPs
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)
Tip Sheet | October 2024
How States Can Use Medicare Advantage Star Ratings to Assess D-SNP Quality and Performance
The Centers for Medicare & Medicaid Services (CMS) uses a five-star quality rating system to evaluate the performance of Medicare Advantage (MA) health plans. This Star Rating system enables beneficiaries, payers, and others to compare plans… (Integrated Care Resource Center)
Tip Sheet | May 2024
Success Begins with Selection: Tips on Assessing Bidders’ Past Performance for States Procuring Integrated Care Plans
This tip sheet is designed to help states that are planning procurements related to their integrated care programs for dually eligible individuals. It aims to help these states: (1) understand the relationship between state efforts to procure… (Integrated Care Resource Center)
Working with Medicare | April 2024
Working with Medicare Webinar: Coordination of Medicare and Medicaid Behavioral Health Benefits
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)
Tip Sheet | April 2024
Tips for States on Working with Dual Eligible Special Needs Plans to Improve Coordination of Physical and Behavioral Health Services for Dually Eligible Individuals
This tip sheet details strategies states can use in their State Medicaid Agency Contracts (SMACs) with Dual Eligible Special Needs Plans (D-SNPs) to promote integration and coordination of behavioral health benefits among enrolled dually eligible… (Integrated Care Resource Center)