States designing or expanding an integrated care program can learn more about their dually eligible populations to ensure that their programs contain the right elements to support beneficiaries’ needs.

The Centers for Medicare & Medicaid Services (CMS) and its Medicare-Medicaid Coordination Office (MMCO) publish aggregate data and statistical resources that provide information about dually eligible individuals in the United States. ICRC’s guide to using CMS data resources shows states how to analyze, interpret, and use this publicly available data.

For states ready to perform their own data analyses using administrative data, CMS’ State Data Resource Centerhas tools and resources, like webinars on how to link Medicare and Medicaid data.

Learn More

  • Data and Statistical Resources

    CMS’ website provides links to data and other statistical resources about dually eligible individuals in the United States (CMS)

  • How States Can Better Understand Their Dually Eligible Beneficiaries: A Guide to Using CMS Data Resources

    This technical assistance tool shows states how to use data on Medicare-Medicaid dually eligible beneficiary demographics, service utilization, spending, and other characteristics to create tables, graphs, and figures and interpret their meaning for a wider audience of stakeholders. (ICRC, November 2018)

  • Using Medicare Data to Support Integrated Care for Dually Eligible Beneficiaries

    This webinar describes what Medicare and Medicaid data are publicly available and some simple tools that states can use to begin to explore these data. Staff from the State Data Resource Center describe no-cost technical assistance resources that can help states to access, analyze, and interpret Medicare data, and a MassHealth representative explains how Massachusetts is using integrated Medicare and Medicaid data, successes to date, and future plans for using these data. (ICRC, May 2019)

  • How States Can Monitor D-SNP Performance: A Guide to Using CMS Data Resources

    This ICRC resource describes ways that states can use CMS data to create tables, graphs, and figures and interpret their meaning in order to assess D-SNP performance. (ICRC, January 2018)

  • Using Medicare Modernization Act files to identify dually eligible individuals

    This ICRC technical assistance tools explains how states can identify Medicaid enrollees who are currently dually eligible, as well as Medicaid enrollees who will become dually eligible in the next three months (known as “prospective” dually eligible individuals), though the state’s exchange of Medicare Modernization Act (MMA) files with CMS. (ICRC, July 2020)

  • State Guide to Identifying Aligned Enrollees 

    This ICRC technical assistance tool explains how states can identify aligned and unaligned D-SNP enrollees by (1) accessing CMS data on Medicare plan enrollment and matching it with Medicaid plan enrollment data; or (2) collecting aligned enrollment data directly from D-SNPs. (ICRC, July 2020)