Getting Started with Medicare-Medicaid Integration

The over 12 million Americans who are dually eligible for Medicare and Medicaid have high rates of chronic illness, long-term care needs, and social risk factors. They also must navigate both Medicare and Medicaid – two separate systems that were not designed to work together. The goal of Medicare-Medicaid integration is to improve the quality and experience of care for dually eligible individuals while reducing avoidable service use and costs. Explore this section of the website to learn more about the dually eligible population and Medicare-Medicaid integration.

1. Learn the Basics

   Following are core resources about who dually eligible individuals are and what Medicare-Medicaid integration means for them and their care:

   • Dually Eligible Individuals: The Basics
   • People Dually Eligible for Medicare and Medicaid
   • State Pathways to Integrated Care: Exploring Options for Medicare-Medicaid Integration
   • Medicare-Medicaid Coordination Office: FY 2019 Report to Congress
   • Glossary of Terms Related to Integrated Care for Dually Eligible Individuals
2. See Integration in Action

   Several states have implemented models that fully integrate Medicare and Medicaid, including:

   • The MyCare Ohio Demonstration: Early Successes and Stakeholder Insights on Integrating Care for Dually Eligible Beneficiaries
   • Using Health Homes to Integrate Care for Dually Eligible Individuals: Washington State’s Experiences
3. Explore Resources

   View other Resources for additional background on Medicare-Medicaid integration, options for integration, and foundational steps to advance integration care for dually eligible populations.