As states develop managed care programs for individuals who are dually eligible for Medicare and Medicaid or who use long-term services and supports, it is important for states to engage medical, behavioral health, and home- and community-based service providers, as well as hospitals and nursing facilities. Providers can serve as an important channel for communication with state policymakers and administrators about how the managed care program is faring. Providers can help highlight best practices and identify and address issues before problems occur. For programs with voluntary enrollment, providers can serve as champions as well as important sources of information for individuals deciding whether to participate.

This brief provides tips to help states engage providers in designing, implementing, and overseeing a managed care delivery system for individuals with complex care needs.

Posted: June 2022