On December 19, 2018, the Centers for Medicare and Medicaid Services published a new State Medicaid Director Letter titled Ten Opportunities to Better Serve Individuals Dually Eligible for Medicaid and Medicare. In this letter, CMS spotlights ten different new and already existing ways states are able to pursue changes that could improve care for Medicare-Medicaid enrollees. Below is a list of those ten approaches. The letter provides further detail and guidance as to how states can pursue each.

  1. State contracting with dual eligible special needs plans (D-SNPs)
  2. Default enrollment into a D-SNP
  3. Passive enrollment to preserve continuity of integrated care
  4. Integrating care through PACE
  5. Reducing the administrative burden in accessing Medicare data for use in care coordination
  6. Program integrity opportunities
  7. MMA file timing
  8. State buy-in file data exchange
  9. Improving Medicare Part A buy-in
  10. Opportunities to simplify eligibility and enrollment

LeadingAge will review this new guidance further and provide analysis and additional information to members.

Article reposted from LeadingAge National.

 

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Nicole Schings is the Director of Member Services and Business Development. Nicole joined the association in 2018, and oversees our Member Services program, our Partnership and Associate Member relationships, and our online education system. A graduate of Washburn University, Nicole uses her 22 years of experience in the association world to enhance the support of our members, problem solve their issues and bring new partners into the LeadingAge Kansas family. Outside of work, Nicole is passionate about geocaching and moments spent with her dog, Blu. You can reach Nicole directly at 785.670.8048.