The Center for Health Care Strategies (CHCS) is working with states to integrate the financing, delivery, and administration of primary, acute, behavioral health, and long-term care services and supports for adults with disabling chronic conditions who are dually eligible or covered solely by Medicaid. The initiative, the Integrated Care Program, is also helping states develop the infrastructure for integrating health care services and contracting with Special Needs Plans.
In response to state requests for assistance with rate setting and risk adjustment issues, CHCS developed, in consultation with the Centers for Medicare and Medicaid Services, a primer that outlines the bidding process for Medicare Advantage Special Needs Plans (SNPs). This primer highlights the opportunity for a coordinated bidding and contracting process that will allow states to benefit from savings due to better integrated Medicare-Medicaid coverage.
Our goal is to help state Medicaid agencies develop, implement, and/or expand care delivery models that improve the quality and cost-effectiveness of care for duals with chronic conditions and disabilities.