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SCDuE Weekly Update | August 2, 2013

INTEGRATED CARE WORK GROUP | July 30, 2013

The purpose of this meeting was to provide stakeholders with an update on key operational changes related to the Demonstration. These changes included the plan selection process, the State’s enrollment strategy, and the transition of home and community based services. This session allowed stakeholders to provide feedback on these operational changes. Please note the following important dates for the CICO selection process:

August 5, 2013:  Submission date of a non-binding letter of intent to participate in Demonstration by prospective CICOs

August 22, 2013:  Submission of formal application letter and certificate of licensure from SCDOI by prospective CICOs

August 30, 2013:  Initial meetings between SCDHHS and prospective CICOs to review the MOU, project plan and readiness review requirements

Operational Update Presentation | Link

Integrated Care Workgroup Survey | Link

 

SCDUE TEAM MEMBERS PRESENT AT SCHCA SUMMER RETREAT  | AUGUST 5, 2013

This presentation will provide the South Carolina Health Care Association with an overview of the Demonstration. As enrollees need nursing facility care, this benefit will be included as a part of the Demonstration’s service package. This session will also explore the impact of the Demonstration on the nursing facility industry and will address specific areas of interest including provider reimbursement rates, contracting, and care coordination. Finally, this presentation will address how the blending of these two siloed payment streams will impact nursing facilities.

 

FACES OF DUALLY ELIGIBLE BENEFICIARIES | PROFILES OF PEOPLE WITH MEDICARE AND MEDICAID COVERAGE

A new report, Faces of Dually Eligible Beneficiaries: Profiles of People with Medicare and Medicaid Coverage, draws on personal interviews with 14 low-income seniors and younger adults with disabilities in five different states. This report illustrates the diverse experiences of the dual eligible population in obtaining medical care and non-medical, supportive services. Such personal stories add a human dimension to the ongoing conversations among federal and state policymakers about the importance of high-quality and coordinated care for dually eligible beneficiaries.

 

FINANCIAL ALIGNMENT DEMONSTRATIONS FOR DUAL ELIGIBLE BENEFICIARIES COMPARED | STATES WITH MEMORANDA OF UNDERSTANDING APPROVED BY CMS

An updated issue brief compares key provisions of demonstration programs in California, Illinois, Massachusetts, Ohio, Virginia and Washington state that will introduce changes in the care delivery systems for dual eligibles. Financial Alignment Demonstration for Dual Eligible Beneficiaries Compared: States with Memoranda of Understanding Approved by CMSalso addresses changing the payment approach and financing arrangements among the Centers for Medicare and Medicaid Services, the states and health care providers.

 

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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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