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CMS Duals Demonstrations
The Centers for Medicare and Medicaid Services (CMS) is currently working with states to design and implement new models for integrating the benefits and financing of both programs. As states build these new models, advocates must be involved. Following are some useful resources and tools.
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A guide for advocates prepared by DREDF in collaboration with the National Senior Citizens Law Center (NSCLC). January 2013
- DREDF and NSCLC Launch Beneficiary Protections Toolkit
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Adopted by DREDF, NCIL, Community Catalyst, and several Independent Living Centers. February 2012
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WEBINAR: Managed LTSS: Engaging in the Stakeholder Process. June 27, 2012
By the Administration for Community Living (ACL); DREDF’s Silvia Yee and Mary Lou Breslin were presenters.
- PowerPoint presentation (PDF)
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WEBINAR: Long–Term Services and Supports in a Managed Care Environment. June 11, 2012
Presented by DREDF and the National Senior Citizens Law Center (NSCLC).
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- California Duals Demonstrations
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WEBINAR: Coordinated Care Initiative (CCI) Advanced Training
Presented by DREDF and the National Senior Citizens Law Center (NSCLC), this webinar provided a detailed overview of California’s plan to enroll seniors and people with disabilities who have both Medicare and Medi—Cal into managed care and integrate Long Term Services and Supports (LTSS). June 25, 2014
- DREDF Comments on Draft Health Risk Assessment Health Plan Guidance for California’s Duals Demonstrations (PDF)
- DREDF expresses deep concerns about California’s plans to integrate Home and Community Based Services (HCBS) in the Coordinated Care Initiative (PDF)
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DREDF has identified key accessibility criteria for ensuring readiness of managed healthcare and other provider networks to serve a large number of people with disabilities and seniors.
- DREDF comments on California’s Dual Eligible Demonstration Coordinated Care Initiative (PDF)
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California 1115 Waiver
In May 2012 California completed enrollment of 240,000 people with disabilities and seniors into mandatory managed care in 16 counties in California.
- In Transit: Mandatory Managed Care for Medi–Cal Seniors and People with Disabilities
A report from the California Healthcare Foundation on challenges and lessons learned. - California Department of Health Care Services website on the 1115 waiver
- In Transit: Mandatory Managed Care for Medi–Cal Seniors and People with Disabilities
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Other Managed Care Resources
- Disability Rights and Managed Care Fact Sheet, October 2014 (PDF)
- Long Term Services and Supports Principles, Disability Rights California, April 2012 (PDF)
- From New York State
- Analysis of ADA Compliance by Managed Long—Term Care Plans in New York—Center for Independence of the Disabled, NY (PDF)
- New York State’s Managed Long—Term Care Accessibility Chart (xls)
- New York State’s Guidelines for Managed Care (MCO Qualification Guidelines) (PDF)
- Guidelines for Medicaid MCO Compliance with the Americans with Disabilities Act (ADA) (Appendix 4.11) (PDF)
- Massachusetts and CMS Sign Off on First Memorandum of Understanding for Dual Eligible Integration Demonstration (PDF)
For more information about our healthcare work contact us at info@dredf.org