Resources

  • Working with Medicare | July 2019

    Update on State Contracting with D-SNPs: The Basics and Meeting New Federal Requirements for 2021

    This webinar provides an overview of state strategies for contracting with D-SNPs to improve care coordination and Medicare-Medicaid alignment for dually eligible enrollees. Special attention is given to new federal D-SNP integration standards for... (Integrated Care Resource Center)
  • Study Hall Call | April 2019

    D-SNP Performance Monitoring and Oversight: State Experiences and CMS Resources

    This webinar covers resources and strategies available to states to begin or improve their oversight of Dual Eligible Special Needs Plans (D-SNPs). Presenters provide an overview of the Centers for Medicare & Medicaid Services’ (CMS) publicly... (Integrated Care Resource Center)
  • Study Hall Call | July 2018

    Aligning Coverage for Dually Eligible Beneficiaries Using Default and Passive Enrollment

    This webinar provides a history of seamless conversion and describes the new process for default enrollment that will start in 2019. This webinar also explain states’ roles in this process, including the need to identify beneficiaries newly eligible... (Integrated Care Resource Center)
  • Study Hall Call | March 2018

    Partnering with SHIPs to Improve Care

    This webinar provides an overview of partnerships between Medicaid agencies and SHIPs in both PA and SC. (Integrated Care Resource Center)
  • Working with Medicare | December 2017

    Update on State Contracting with D-SNPs

    This Working with Medicare webinar provides an update on the current status of state contracting with D-SNPs and explores strategies that states can use to further Medicare-Medicaid integration on a D-SNP-based platform. (Integrated Care Resource Center)
  • Study Hall Call | June 2015

    Reducing Avoidable Hospitalizations Among Nursing Facility Residents: Three Perspectives

    The webinar features perspectives and lessons learned from two Fully Integrated Dual Eligible Special Needs Plans (FIDE SNPs) - HealthPartners in Minnesota and Bridgeway Health Solutions in Arizona - and from The Curators of the University of... (Integrated Care Resource Center)
  • Study Hall Call | May 2015

    State Use of Medicare Advantage Encounter Data: Perspectives from Two States

    Provides an overview of how state Medicaid agencies can obtain and use Medicare Advantage encounter data and shares insights from Arizona's and Tennessee's experiences with this process. (Integrated Care Resource Center)
  • Study Hall Call | February 2015

    State Perspectives on Contracting with Dual Eligible Special Needs Plan

    This presentation highlights the ICRC technical assistance tool State Contracting with Medicare Advantage Dual Eligible Special Needs Plans: Issues and Options and features a moderated panel discussion among representatives of three states (... (Integrated Care Resource Center)
  • Study Hall Call | January 2015

    Building and Validating LTSS Provider Networks

    This presentation examines strategies for states establishing Medicaid MLTSS or integrated care programs to ensure that health plans develop LTSS provider networks to address beneficiaries' diverse needs. (Integrated Care Resource Center)
  • Study Hall Call | October 2014

    Integrated Marketing Rules and Practices for Medicare and Medicaid Managed Care

    This presentation provides an overview of the major differences between Medicare and Medicaid marketing requirements and opportunities for better alignment, and it also offers lessons from MassHealth's roll out of Massachusetts' integrated... (Integrated Care Resource Center)
  • Study Hall Call | September 2014

    State Monitoring and Oversight of Managed Long-Term Services and Supports Care Programs

    In this presentation, an ICRC speaker describes the basic principles of MLTSS program oversight and state performance monitoring practices for Medicaid MLTSS programs. In addition, a speaker from Texas offers operational insight on oversight of the... (Integrated Care Resource Center)
  • Study Hall Call | May 2014

    Medicare Advantage D-SNP Contract Oversight and Quality Monitoring

    This webinar summarizes a discussion among states, the Centers for Medicare & Medicaid Services, the National Association of Medicaid Directors, and ICRC about Medicare Advantage Dual Eligible Special Needs Plan contract oversight and quality... (Integrated Care Resource Center)
  • Study Hall Call | January 2014

    Medicare Advantage Network Adequacy Requirements, D-SNPs, and State Contracting Options

    This document summarizes a discussion among states, Centers for Medicare & Medicaid Services, the National Association of Medicaid Directors, and ICRC regarding Medicare Advantage network adequacy requirements and their application to Dual... (Integrated Care Resource Center)
  • Study Hall Call | November 2013

    Integrated Denial Notice

    This webinar provides background on the integrated denial notice and discusses the applicability of the integrated denial notice outside of the financial alignment demonstrations, using New York as an example. (Integrated Care Resource Center)
  • Study Hall Call | April 2013

    Integrated Appeals & Grievances

    Provides an overview of the Medicare appeals process and gives examples of the integrated Medicare/Medicaid appeals processes proposed in California, Massachusetts, Ohio, and New York. (Integrated Care Resource Center)

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