State Resource Center

Work

Promoting Independent Living Among Older Adults and People with Disabilities

Medi-Cal allows managed care plans to provide flexible person-centered services and address social drivers of health. Other states across the country can look to California’s experience to explore opportunities to leverage ILOS more broadly.
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Work

Quantifying Dual Eligible Beneficiaries in Medicaid MLTSS and FFS Medicare

A considerable number of dual eligible beneficiaries with access to Medicare-Medicaid integrated programs remain in Medicare FFS, suggesting an opportunity for targeted education and program design.
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Work

Profile of the California Medicare Population

CA's Medicare Innovation Office is the first dedicated office within a state Medicaid agency focused on program design for dual eligibles. Understanding the growing Medicare population is important for CA to identify opportunities to support them.
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Insights

How the CY2023 Proposed Rule Hits (And Misses) the Integration Mark

The 2023 MAPD Proposed Rule is packed full of D-SNP integration requirements, but the journey isn't done. Our blog explores what more needs to be done to advance integration for dual eligibles.
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Work

Bringing Elements of the FAI into D-SNPs

Stakeholders have developed programs to address Medicare and Medicaid complexity to promote integration. However, programs promoting the most integration are not available nationwide and are met with state imposed barriers.
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Work

Access to Medicare-Medicaid Integrated Products

Half of dual eligibles do not have access to products considered the “gold standard” of integration. Policymakers should continue to promote and require integration, including identifying solutions in areas that may not have a direct path forward.
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