Centers for Medicare & Medicaid Services
The following site provides information about combining §1915(b) and §1915(c) authorities to provide a continuum of services to disabled and/or elderly populations. By combining these authorities, states can provide long-term care services in a managed care environment or use a limited pool of providers.
Web address: http://www.cms.hhs.gov/MedicaidStWaivProgDemoPGI/06_Combined1915bc.asp
The following site provides a list of resources that are currently available to provide information and assistance when developing integrated Medicare and Medicaid models of care.
Web address: http://www.cms.hhs.gov/IntegratedCareInt/2_Integrated_Care_Roadmap.asp
The following site provides an Overview of Special Needs Plans and includes several downloadable resources.
Web address: http://www.cms.hhs.gov/specialneedsplans/
National PACE Association
The National PACE Association works with CMS staff and members of Congress who work on policy issues affecting PACE organizations. Because PACE organizations are innovative programs that work with both the Medicare and Medicaid programs, the model has its own regulations that govern its operation. Information about Federal and state policy can be found at the following sites, respectively.
Web address: http://www.npaonline.org/website/article.asp?id=730 and http://www.npaonline.org/website/article.asp?id=731
Center for Health Care Strategies (CHCS)
The Center for Health Care Strategies is a nonprofit health policy resource center dedicated to improving health care quality for low-income children and adults, people with chronic illnesses and disabilities, frail elders, and racially and ethnically diverse populations experiencing disparities in care. CHCS works with state and Federal agencies, health plans, providers, and consumer groups to develop innovative programs that better serve people with complex and high-cost health care needs. The following website includes numerous publications and other resources about dually eligible persons and integrated care.
Web address: http://www.chcs.org/info-url_nocat5108/info-url_nocat_list.htm?attrib_id=8408
In particular, the website has two links that are directly relevant to this chapter:
This webinar explored progress that states have made in integrating care for dually eligible populations via Special Needs Plans, the challenges for integrating care, as well as new non-Special Needs Plan alternatives for states to consider.
Download resources from this webinar, which featured state and health plan best practices for managing the long-term care of Medicaid beneficiaries, and integrating acute and long-term care for adults solely covered by Medicaid or dually eligible for Medicaid and Medicare.