Opportunities for States
On April 24, 2019, we released a State Medicaid Director letter (SMDL) inviting states to partner with CMS to test innovative approaches to better serve those who are dually eligible for Medicare and Medicaid. Approaches discussed in the State Medicaid Director letter include: integrating care through two options under the current Financial Alignment Initiative - the capitated financial alignment model and the managed fee-for-service model - and state-specific models that would give states additional flexibility.
On December 19, 2018, we released a State Medicaid Director letter describing ten opportunities - none of which require complex demonstrations or Medicare waivers - to better serve individuals dually eligible for Medicare and Medicaid. These opportunities include utilizing new developments in managed care, using Medicare data to inform care coordination and program integrity initiatives, and reducing administrative burden for dually eligible individuals and the providers who serve them. A number of these opportunities are newly available to states through Medicare rulemaking or other CMS burden reduction efforts.