Other E-alert

Comments Sought on Proposed Process to Verify that D-SNP Contracts Meet New Information-Sharing Requirements for Contract Year 2021

On September 12, 2019, the Centers for Medicare & Medicaid Services (CMS) released the draft Contract Year 2021 Medicare Advantage-Prescription Drug Application for a 60-day public comment period. The draft MA-PD application shows how CMS proposes to collect information from Dual Eligible Special Needs Plans (D-SNPs) to verify that the plans will meet the new Medicaid integration requirements from the Bipartisan Budget Act of 2018 as codified in the April 2019 final rule (CMS-4185-F).

New ICRC Resource | Information Sharing to Improve Care Coordination for High-Risk Dual Eligible Special Needs Plan Enrollees: Key Questions for State Implementation

This technical assistance tool describes key issues states will want to address as they work with D-SNPs and other parties to design and implement information-sharing requirements. The tool includes model D-SNP contract language states can adapt for inclusion in their D-SNP contracts. Because D-SNPs must submit their 2021 contracts to CMS by early July 2020, all states should begin to consider the new information sharing requirements now in order to have sufficient time to develop new contract language and processes for 2021.

New ICRC Case Study | The MyCare Ohio Demonstration: Early Successes and Stakeholder Insights on Integrating Care for Dually Eligible Beneficiaries

This case study, developed for the Integrated Care Resource Center, describes: (1) the demonstration’s structure; (2) results achieved to date; and (3) insights on the demonstration’s implementation from the state and other stakeholders. State Medicaid agencies, particularly those looking to integrate care for dually eligible beneficiaries in capitated delivery systems, may find the information described in this brief useful.

Tips to Improve Medicare-Medicaid Integration Using D-SNPs: Integrating Medicaid Managed Long-Term Services and Supports into D-SNP Models of Care

This new ICRC tip sheet, part of the "Tips to Improve Medicare-Medicaid Integration Using D-SNPs" series, outlines the benefits of integrated MOCs, lists the steps in developing and implementing an integrated MOC, and provides examples of state-specific elements that Massachusetts and Minnesota require D-SNPs to include in their MOCs.

Webinar Resources | Updates on State Contracting with D-SNPs: The Basics and Meeting New Federal Requirements for 2021

On Tuesday July 9, 2019, ICRC hosted the Working with Medicare webinar “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.

New ICRC Resource: Modernizing Medicare Savings Programs (MSPs) to Better Serve Dually Eligible Beneficiaries

To help states understand one option to streamline and improve MSP eligibility determination processes for eligible beneficiaries, ICRC developed a tip sheet, Modernizing Medicare Savings Programs to Better Serve Dually Eligible Beneficiaries: Alignment of MSP Eligibility with the Medicare Part D Low Income Subsidy Program.

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