Idaho Duals’ Programs Medicare Medicaid Coordinated Plan (MMCP)

Slides:



Advertisements
Similar presentations
Dual Eligible and Low-Income Medicare Beneficiaries and Part D Presentation to National Medicaid Congress by Andy Schneider, Senior Advisor June 5, 2006.
Advertisements

Scott Leitz Assistant Commissioner for Health Care Minnesota Department of Human Services Minnesotas Approach: Integrated Medicare & Medicaid Programs.
February Enrollment Report MassHealth Demonstration to Integrate Care for Dual Eligibles One Care: MassHealth plus Medicare.
Changes to Medicaid Because of the Affordable Care Act, many more people will be eligible for Medicaid after January 1, Medicaid will be expanded.
Special Needs Purchasing Minnesota Department of Human Services
Long-Term Care Integration in San Mateo County Jean Fraser Maya Altman Maya Altman March 10, 2011.
DentaQuest Provider Training Amerigroup Plans Effective 9/1/2013.
Medicare Part D: 2007 Presented by MMA Project Team Oregon Dept. of Human Services.
WellCare SNP Model of Care Program
Connecting SNPs with State Medicaid Programs October 18, 2007 Charles J. Milligan, Jr. Executive Director.
MEDICARE ADVANTAGE SPECIAL NEEDS PLAN AN OVERVIEW.
Special Needs Plans Susan Nedza, M.D., M.B.A. Chief Medical Officer, CMS Chicago Regional Office March 23, 2006.
Michael Fiore, Director Division of Plan Policy Centers for Medicare and Medicaid Services June 6, 2006 Innovations in Medicare Managed Care for Dual Eligible.
Managed Long Term Care Plans Mandatory Enrollment Linda Gowdy Home Care Association May 31,
Group Long Term Care. 2 WHAT IS LONG TERM CARE? Skilled, intermediate and/or custodial care provided to individuals who are unable to care for themselves,
Virginia’s Blueprint for the Integration of Acute and Long-Term Care Services The Second National Medicaid Congress Cindi B. Jones, Chief Deputy Director.
Impact of the MMA on Existing Disease Management Programs and Managed Care Initiatives for the Aged and Disabled Center for State Health Policy Rutgers,
Medicare Advantage Other Medicare Plans September, 2015.
1 NAMD: Moving Past the Hype: Real World Payment Reforms in Virginia November 8, 2011 (2:15-3:45 p.m. session) Cindi B. Jones, Director Virginia Department.
Understanding Medicaid Managed Long Term Care Contracting September 11, 2013 LeadingAge New York Financial Managers Annual Conference Michael H. Lewensohn.
DataBrief: Did you know… DataBrief Series ● September 2010 ● No. 3 Dual Eligibles and Medicare Spending For patients with 5 or more chronic conditions,
“Reaching across Arizona to provide comprehensive quality health care for those in need” Our first care is your health care Arizona Health Care Cost Containment.
MassHealth Managed Care for Older Members and Members with Disabilities Lori Cavanaugh Director of Purchasing Strategy NASHP Annual Conference October.
The Moving Parts of Medicaid Reform CDPAANYS Annual Conference October 24, 2012 Presenter: Cathy Roberts, Senior Paralegal Empire Justice Center, Albany,
2009 ACAP CEO Summit Controlling Long Term Care Costs and Improving Quality: The Role of Medicaid Managed Care Hank Osowski Senior Vice President SCAN.
Janet Grant CareSource Management Group Executive Vice President Business Development and Regulatory Affairs Medicaid Conference September 24, 2008 Contracting.
Who Are the Dual Eligibles? May 17, 2006 Charles Milligan, JD, MPH Medicaid Commission Meeting.
Michigan Department of Community Health Director Olga Dazzo Michigan’s Plan for Integrated Care National Academy for State Health Policy Kansas City, Missouri.
Centers for Medicare & Medicaid Services & Idaho Department of Health and Welfare Demonstration to Integrate Care for Dual Eligible Individuals Idaho Medicare-Medicaid.
Section 1115 Waiver Implementation Plan Stakeholder Advisory Committee May 13, 2010.
“Reaching across Arizona to provide comprehensive quality health care for those in need” Our first care is your health care Arizona Health Care Cost Containment.
An Overview of Medicare and Retiree Medical Presented at the Pacific Region Retiree Gathering May 26,
IDD Participant Enrollment/Integration in Bayou Health Plan Kathy H. Kliebert Secretary.
1115 Waiver Proposals California Children’s Services Program.
Special Needs Plans Sandra Bastinelli, MS, RN Acting Director, Division of Special Programs Medicare Advantage Group Center for Beneficiary Choices.
C ALIFORNIA ’ S C OORDINATED C ARE I NITIATIVE : M ANDATORY M EDI -C AL M ANAGED C ARE E NROLLMENT AND THE D UAL D EMONSTRATION P ROJECT Presented by the.
Implications of Part D Medicare Drug Benefit on State Medicaid Programs for the Dual Eligibles Pennsylvania’s Perspective James Hardy Project Manager Pennsylvania.
MLTSS FAQs Frequently Asked Questions for Stakeholders on Managed Long- Term Services and Supports (MLTSS) What is Managed Long Term Services and Supports.
Mandatory Managed Long Term Care Enrollment Plan February 16, 2012.
Integrated Care Initiative June 14, Overview Align care and financing for and creates new health plan options for: individuals with Medicare and.
Coordination of Benefits/Third Party Liability
Commonwealth Coordinated Care

AHCCCS, Division of Health Care Management
SNP Leadership Forum October 10, 2013
Mandatory Managed Long Term Care Enrollment Plan
MLTSS Delivery System SubMAAC
Dual Eligibles and Medicare Spending
Consumer protections in Medicare – Medicaid coordinated care models SNP Executive roundtable March 30, 2015 Lynda Flowers Senior Strategic Policy Advisor.
Media Fall Seminar November 10, 2016.
New Jersey’s Health System Advancing Integration for Dual Eligibles
Dual eligible beneficiaries and care coordination
Integrated Care Initiative
MASSHEALTH: THE BASICS enrollment update as of SEPTEMBER 2016
ACAP Dual Eligibles Toolkit: Summary Data for Massachusetts
National Association of Medicaid Directors November 8, 2016
MLTC – Managed Long Term Care
Coordination of Benefits/Third Party Liability
Sco Senior Care Options Bringing Medicare and MassHealth Together.
MLTSS Kristin Murphy.
“Determining Eligibility And Enrollment for Low-Income Beneficiaries”
Duals Integration Across the Spectrum
Coordination of Benefits/Third Party Liability
67th Annual HSFO Conference Louisville, KY
Community Living Assistance Services and Supports CLASS
MEDICAID AND MMA ADMINISTRATIVE CHALLENGES: SPECIAL NEEDS PLANS
Optum’s Role in Mycare Ohio
Coordination of Benefits/Third Party Liability
CMHRS Provider Overview Medallion 4.0
AIDS/HIV Brain Injury Children’s Mental Health Elderly
Presentation transcript:

Idaho Duals’ Programs Medicare Medicaid Coordinated Plan (MMCP) 28,000 full dual eligible in Idaho – around 400 new members each month Medicare Medicaid Coordinated Plan (MMCP) Idaho Medicaid Plus Designed for duals that do not enroll in MMCP Mandatory enrollment – auto-assignment will occur for members that do not select a Health Plan Pilot program in one county live November 2018 Target counties will include 20,000 members by September 2019 Benefit package includes Medicaid behavioral health, skilled nursing facility, and home and community based services. Voluntary, opt-in enrollment structure Operated as a Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) 4,000 enrolled in the MMCP Available in 22 of Idaho’s 44 counties Benefit package includes Medicare A, B and D, in addition to Medicaid behavioral health, skilled nursing facility, and home and community based services.