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SCDuE Weekly Update | October 18, 2013

PROVIDER FORUMS FOR THE SCDUE DEMONSTRATION | NOVEMBER 2013

This fall, the South Carolina Department of Health and Human Services (SCDHHS) will host provider forums throughout the state concerning the South Carolina Dual Eligible (SCDuE) Demonstration.  During the upcoming forums, both SCDHHS and participating CICOs will address the impact of the Demonstration on our health care system and on specific provider types.  These targeted sessions will also give providers the opportunity to ask questions regarding the implementation of this new program.  Please save the following dates for the three statewide provider forums this fall:

Thursday, November 7, 2013 1pm-5pm – Charleston, SC

Friday, November 8, 2013 9am-12:30pm – Charleston, SC

 

Thursday, November 14, 2013 1pm-5pm – Columbia, SC

Friday, November 15, 2013 9am-12:30pm – Columbia, SC

 

Thursday, November 21, 2013 1pm-5pm – Greenville, SC

Friday, November 22, 2013 9am-12:30pm – Greenville, SC

 

INTEGRATED CARE WORKGROUP | OCTOBER 17, 2013

The Integrated Care Workgroup’s (ICW) last quarterly session for calendar year 2013 was held on Thursday, October 17, 2013.  The purpose of this meeting was to provide a Demonstration status and operations update.  Information covered during this session included topics related to the status of the Memorandum of Understanding (MOU) between the State and CMS, as well as an update of the prospective Coordinated and Integrated Care Organization (CICO) application process.  The fall provider education series and other stakeholder related activities were outlined.  A discussion was also held on the current status and transition of the ICW for implementation. | Link

 

MINNESOTA SIGNS MEMORANDUM OF UNDERSTANDING WITH CMS

CMS and the Minnesota Department of Human Services (MDHS) signed a Memorandum of Understanding (MOU) on September 12, 2013 to establish a Demonstration to Align Administrative Functions for Improvements in Beneficiary Experience.  The Demonstration, which started on September 13, 2013, will be in effect for three years until December 31, 2016.  Independent of the Medicare-Medicaid Alignment Initiative (MMAI) in which South Carolina is participating, Minnesota’s Demonstration utilizes its existing program for dual eligibles known as Minnesota Senior Health Options (MSHO).  The Demonstration includes three delivery models that promote relationships between MSHO managed care organizations that are also qualified as Dual Eligible Medicare Special Needs Plans (D-SNPs) and providers called Integrated Care System Partnerships (ICSPs). 

 

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Medicare-Medicaid FAQs (Frequently Asked Questions) | PDF

Contact CMS for any questions or concerns regarding the meetings, guidance, or the MMP application. Emails can be directed to MMCOcapsmodel@cms.hhs.gov

Contact the SCDuE Team for more information, questions, and/or comments related to the SCDuE Demonstration by email at scdue@scdhhs.gov.

For additional assistance, please contact the SCDuE Program Manager, Teeshla Curtis by email at curtist@scdhhs.govor by telephone at (803) 898-0070.

Visit the SCDuE Website at https://msp.scdhhs.gov/scdue/

Visit the CMS-MMCO Website at https://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/index.html

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