A common challenge for states seeking to advance Medicare-Medicaid integration is a lack of knowledge of Medicare’s regulations, timelines, and contracting requirements. The resources in this section include a selection of materials available to states participating in CHCS’ Medicare Academy, and initiative that works with states to build their Medicare knowledge
How Medicaid Agencies Are Building Medicare Knowledge to Advance Health Equity
Explores how California, Kentucky, and Oregon are working to improve health outcomes for dually eligible populations by addressing health inequities.
Getting Results from D-SNPs: How Medicaid Agencies Are Building Medicare Knowledge for Oversight and Monitoring
Features insights from the conversations with Medicaid official in the District of Columbia, Minnesota, and Washington State, on how their agencies developed the Medicare knowledge necessary to establish monitoring and oversight for integrated D-SNP models.
What’s a D-SNP? How States Are Learning About Medicare to Better Integrate Care for Dually Eligible Individuals
Features insights from Medicaid officials in Indiana and Maine on how their agencies successfully implementing Medicare integration models in managed and non-managed care environments.
What Medicaid Officials Need to Know About the Medicare Advantage Star Rating System
Can help Medicaid and partner agency staff understand how Medicare Advantage plans are paid, including some of the unique aspects of Medicare Advantage payment policy applicable to D-SNPs.
What Medicaid Officials Need to Know About Medicare Advantage Supplemental Benefits
Can help Medicaid and partner agency staff learn about the different types of Medicare Advantage supplemental benefits and their relevance to Medicare Advantage enrollees, health plans, and state officials.
What Medicaid Officials Need to Know About Medicare Advantage Payment Policy and Rate Setting
Can help Medicaid and partner agency staff understand how Medicare Advantage plans are paid, including some of the unique aspects of Medicare Advantage payment policy applicable to D-SNPs.
What Medicaid Officials Need to Know About Medicare Advantage Contracting and Bid Development
Can help Medicaid and partner agency staff understand the Medicare Advantage contracting process, including the components of the Medicare Advantage application and the annual contracting timeline.
