Minnesota’s Demonstration to Integrate Care for Dual Eligibles

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Overview

DHS and the Centers for Medicare and Medicaid Services (CMS) signed a Memorandum of Understanding (MOU) establishing a “Demonstration to Align Administrative Functions for Improvements in Medicare-Medicaid Beneficiary Experience” within the Minnesota Senior Health Options Program (MSHO). The demonstration is also referred to as the “Dual Demo.”

The Dual Demo began on September 13, 2013, continues until December 31, 2016, and is designed to:

  • • Enhance integration of services for Medicare-Medicaid Beneficiaries through payment reform and new provider payment models with beneficiaries who are dually eligible for both Medicare and Medicaid.
  • • Clarify and simplify information and processes for Beneficiaries and their families related to Medicare and Medicaid coverage.
  • • Better align oversight of MSHO Plans by the State and CMS.
  • • Improve administrative efficiencies for the MSHO Plans and government agencies that serve MSHO Enrollees.
  • • Avoid unnecessary duplication through a joint federal-state monitoring and quality oversight process and a coordinated set of reporting requirements.

  • The term “dually eligible” refers to people who have benefits through Medicare and Medicaid (known in Minnesota as Medical Assistance.

    DHS intends to continue discussions with CMS in a second phase of the Dual Demo Project for the SNBC population.

    Public Meetings

    To access information on the status of current state initiatives, please go to Public Meetings. Meetings are held periodically to share information on key projects and get input from clients, stakeholders and other interested parties.

    What’s New

    On December 19, 2014, the Dual Demo launched the first Dual Demo News update via a new email subscription service. By subscribing, stakeholders receive a one-way email notification when updates are shared related to the Dual Demo. Email messages may provide meeting dates, demonstration updates, and other information that relates to the Dual Demo.

    To receive the Dual Demo News, stakeholders can subscribe here. A stakeholder’s e-mail address will be used only to deliver the messages originating from Special Needs Purchasing staff regarding the Dual Demo.

    The next stakeholder meeting is scheduled for January 15, 2015 and stakeholders are encouraged to register using the new meeting registration system.

    Dual Demo Milestones

    November 17, 2014:
    Special Needs Purchasing hosted an all-day “Best Practice Care Coordination Conference” for MSHO and MSC+ care coordinators. This conference was funded by the Dual Demonstration grant. Over 400 care coordinators from around the state attended the conference. The conference’s presentations and handouts are available to view and are approved by the originators for posting on the Dual Demonstration webpage indefinitely, as a resource.

    August 15, 2014:
    The demonstration’s Dual Demo Work Plan is available for review

    September 13, 2013:
    The Dual Demo Project began on September 13, 2013, continues until December 31, 2016.

    Dual Demo Historical Information

    For additional information, please go to Dual Demo Historical Information.

    Integrated Care System Partnerships (ICSPs)

    For additional information, please go to ICSP Information.

    Related information

    State demonstrations for dual eligibles (general information on CMS website)

    CMS letter to State Medicaid Directors re: Financial Models to Support State Efforts to Integrate Care for Medicare-Medicaid Enrollees, July 8, 2011 (PDF)

    Minnesota’s Senior Health Options (MSHO) managed care program for seniors

    Minnesota’s Special Needs BasicCare (SNBC) managed care program for people with

    Minnesota DHS contacts

    For more information, contact:
    Sue Kvendru
    , Project Co-Director, Dual Demo Policy and Seniors MLTSS Programs Team Lead
    Deb Maruska
    , Project Co-Director, Grant/Data Management/Disability Programs Team Lead


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