Resources

  • Other Resource | July 2019

    Tennessee Duals Coordination Quarterly Reporting Template

    This page hosts Tennessee’s template for the Duals Care Coordination Quarterly Report which is included in a footnote to the August 2019 ICRC Issue Brief on Promoting Information Sharing by Dual Eligible Special Needs Plans to Improve Care... (TennCare)
  • Other Resource | July 2019

    Tennessee 2019 D-SNP Contract

    TN Contract (TennCare)
  • Other Resource | March 2019

    People Dually Eligible for Medicare and Medicaid

    In 2017, there were 12 million individuals dually eligible for Medicare and Medicaid. This fact sheet provides information on their reasons for Medicare eligibility, costs of care, and enrollment in managed care as well as the proportion of these... (Centers for Medicare & Medicaid Services)
  • Other Resource | March 2019

    Part A Buy-in Agreements for States - Q&A

    This document provides answers to states' frequently asked questions about Medicare Part A Buy-in. It describes the advantages to states of having a Buy-in agreement and how these agreements can help to promote access to integrated care for dually... (Centers for Medicare & Medicaid Services)
  • Other Resource | March 2019

    Technical Guide for Medicare-Medicaid Plan Enrollment v 3.0

    The Medicare & Medicaid Plan Eligibility and Enrollment Guide describes the interface to the Infocrossing applications for Medicare Eligibility verification and Enrollment submission to the CMS MARx systems. Version 3.0 of the MMP Technical... (Infocrossing)
  • Other Resource | February 2019

    Default Enrollment FAQs

    This resource is an FAQ document detailing a number of commonly asked questions regarding default enrollment.  (Medicare-Medicaid Coordination Office)
  • Other Resource | December 2018

    Nursing Facility Case-Mix Payment Changes Informational Bulletin

    This informational bulletin informs states of two changes that may impact states’ payments for Medicaid beneficiaries in the nursing home setting. (Center for Medicare & Medicaid Services)
  • Other Resource | December 2018

    Medicare Eligibility File Comparison Chart

    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... (Center for Medicare & Medicaid Services)
  • Other Resource | October 2018

    Default Enrollment Model Notice

    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)
  • Other Resource | August 2018

    Default Enrollment Option for Newly Medicare Advantage Eligible Medicaid Managed Care Plan Enrollees (formerly known as “Seamless Conversion Enrollment”)

  • Other Resource | August 2018

    Benefits of Daily versus Monthly Buy-in Data Exchanges for Medicaid Agencies

    This document describes the benefits of daily data exchanges with CMS. It also provides technical FAQs on buy-in data exchanges. (Centers for Medicare & Medicaid Services)
  • Other Resource | July 2018

    CMS Files That Provide Data to States On Upcoming Medicare Eligibility

    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)
  • Other Resource | November 2017

    Data Analysis Brief: Medicare-Medicaid Dual Enrollment from 2006 through 2016

    This analysis examines trends in enrollment and eligibility for Medicare-Medicaid enrollees. See the data tables for additional details: <a href='http://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-... Excel</a>. (Centers for Medicare & Medicaid Services)
  • Other Resource | September 2017

    Key Medicare Advantage Dates and Action Items for States Contracting with Dual Eligible Special Needs Plans

    This calendar of key Medicare Advantage dates describes program milestones by month and explains what activities state Medicaid agencies may want to undertake to prepare for or respond to a particular Medicare Advantage event. (Integrated Care Resource Center)
  • Other Resource | July 2017

    State and County Data File, 2012

    The most recent demographic, enrollment, and expenditure data for dually eligible beneficiaries is in the zip file "State and County Data File 2012" found on the Medicare-Medicaid Coordination Office website. Additional data and statistical... (Centers for Medicare & Medicaid Services)

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