CMS Promotes Integrated Care for Medicaid and Medicare

The Centers for Medicare & Medicaid Services (CMS) is promoting integrated care programs that help states deliver comprehensive Medicaid and Medicare benefits through a unified system. These initiatives aim to enhance the quality of care for individuals eligible for both programs, specifically targeting dual-eligible enrollees. By improving care coordination and minimizing administrative burdens, CMS seeks to streamline the healthcare process for these beneficiaries.

The CMS website outlines tools and guidance that detail strategies for implementing integrated care, including models for a combined appeals process for Special Needs Plans. It also highlights Medicaid's responsibility to cover cost-sharing for those eligible for both Medicare and Medicaid enrolled in Medicare Advantage Plans. The Medicare Managed Care Manual is a key resource for further understanding the Medicare Advantage Program, along with additional information about Special Needs Plans.