Working with Medicare

This webinar series provides key information about the Medicare program that states need to know to design, implement, and improve programs for dually eligible beneficiaries. This training curriculum is designed for states that are:

  • Implementing financial alignment demonstrations;
  • Interested in contracting with Dual Eligible Special Needs Plans (D-SNPs) to coordinate care and services for dually eligible beneficiaries; or
  • Seeking to build a stronger foundation of Medicare program and policy knowledge to plan for future programs.

For more information, contact Michelle Soper, Center for Health Care Strategies, at msoper@chcs.org.

  • Medicare and Medicaid Nursing Facility Benefits: The Basics and Options for Improved Coordination and Quality (Integrated Care Resource Center/May 2018) This presentation provides an overview of data on Medicare and Medicaid spending on nursing facilities for dually eligible beneficiaries, Medicare and Medicaid coverage of nursing facility benefits, and characteristics of Medicare and Medicaid nursing facilities and residents. The presentation also briefly reviews SNF/NF payment systems and methods utilized by FFS Medicare, FFS Medicaid, and managed care health plans, discussing options for states and health plans to increase coordination and quality in SNF and NF services. Recording.
  • Medicare 101 and 201 – Key Issues for States (Integrated Care Resource Center/February 2018) Covers Medicare program basics, including: (1) Medicare-Medicaid enrollee characteristics; (2) Medicare eligibility pathways; (3) an overview of Medicare managed care and state contracting with D-SNPs; (4) overlapping benefits and other Medicare coverage issues; and (5) Medicare policy updates, key dates, and resources relevant for state Medicaid staff. Recording.
  • Update on State Contracting with D-SNPs (Integrated Care Resource Center/ December 2017) 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. Recording.
  • Coordination of Medicare and Medicaid Behavioral Health Benefits (Integrated Care Resource Center/September 2017) This webinar provides an overview of Medicare and Medicaid behavioral health benefits for Medicare-Medicaid enrollees and opportunities to improve coordination in integrated care programs. Recording.