Minnesota’s Demonstration to Integrate Care for Dual Eligibles


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

The Dual Demo began on September 13, 2013, and continues until December 31, 2016. It is designed to do the following:

  • • 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 about Medicare and Medicaid coverage for beneficiaries and their families.
  • • 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 Special Needs BasicCare (SNBC) population.

    Public Meetings

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

    What’s New

    MSHO Cultural Outreach Grantees Present their Grant Summaries
    On Tuesday, August 30, 2016, the four grantees selected to do cultural outreach for the Minnesota Senior Health Options (MSHO) program presented their grant findings, lessons learned and recommendations to stakeholders at the DHS Elmer L. Andersen Building. This opportunity allowed each grantee to present information about their specific grant activities and allowed DHS the opportunity to present their recommendations and express the desire to continue to work on cultural sensitivity of MSHO and other Medicaid managed care programs.

    The four grantees and their presentations are as follows:

    Overall, it seems some barriers or issues are specific to certain cultures, but there are some overarching issues which affect many cultural groups. The DHS Diversity Outreach presentation is available from the August meeting and DHS will also issue a grant summary by October 31, 2106, which includes recommendations for the future based on these grants and implementation plans. The grant summary will be posted to this website once it is available.

    DHS would like to thank all of the grantees for their hard work over the past year. They have provided very culturally sensitive outreach and gathered very important information about cultural sensitivity needs and preferences.

    ICSP Evaluation Presented to Managed Care Organizations and Providers
    On Friday, August 26, 2016, Bailit Health traveled to Minnesota to present their findings from the evaluation they conducted of the overall implementation of the Integrated Care System Partnerships (ICSP) initiative. Managed care organizations and providers involved with the ICSPs were invited to attend the presentation, provide feedback and ask questions about Bailit’s findings and recommendations.

    Bailit is completing a final report which will be posted on this website and sent to stakeholders. In the meantime, Bailit’s August 26, 2016, ICSP Evaluation presentation is available.

    Best Practice Care Coordination Learning Day – Registration opens Wednesday, August 17, 2016!

  • • Care coordinators for the Minnesota Senior Health Options (MSHO), Minnesota Senior Care Plus (MSC+) and Special Needs BasicCare (SNBC) programs are invited to attend a “Best Practice Care Coordination Learning Day (PDF)” on Thursday, September 29, 2016, from 8:30 a.m. to 4:30 p.m. at the Radisson Blu – Mall of America.
  • • For planning purposes, please review the learning day agenda and session descriptions.
  • • Learning day session materials are also available for review and presentations are added as they become available.
  • • The learning day provides opportunities for care coordinators to learn about new care coordination requirements and strategies for effective care coordination.
  • • Registration for in-person attendance is full, however, registration to attend by webinar is available. Please see the registration website. Registration is free.
  • • Lunch and snacks will be on your own. You can either bring a bag lunch or buy lunch at the Mall of America food court.
  • • Continuing education credits will be available for social work and documentation will be provided for nurses to pursue continuing education credits on their own.
  • The learning day is brought to you by the Minnesota Department of Human Services, Blue Plus, HealthPartners, Itasca Medical Care, Medica, Metropolitan Health Plan, PrimeWest, South Country Health Alliance and UCare.
  • Demo News Updates

    In December 2014, the Dual Demo launched the first Dual Demo News update through a new email subscription service. By subscribing here, stakeholders receive a one way email notification from this email address: DHS.SNP.Stakeholders@state.mn.us. We use this email to provide updates related to the Dual Demo, other demonstrations and upcoming meetings within Special Needs Purchasing.

    New Online Stakeholder Meeting Registration System

    Check back often to the new online meeting registration page to learn about upcoming stakeholder meetings and conferences.

    Dual Demo Milestones

    October 28, 2015
    An updated version of the demonstration’s work plan (PDF) is available for review. Please provide any comments to Lauren Siegel, Dual Demonstration Project Coordinator at lauren.siegel@state.mn.us.

    September 1, 2015
    Dual Demonstration grant funds were awarded to Volunteers of America Park ElderCenter, Lao Assistance Center of Minnesota, Stairstep Foundation and Somali Health Solutions. The grants are intended to help culturally diverse elders eligible for the MSHO program by providing them and their supports with outreach, education and assistance. These grants will last from September 1, 2015, through August 31, 2016.

    August 21, 2015
    Special Needs Purchasing hosted an all-day stakeholder conference about managed care programs for seniors and people with disabilities. This conference was titled “New Connections for Self-Advocacy and Innovation” and brought a wide range of stakeholders for MSHO, MSC+ and SNBC programs together. Stakeholders included program members, providers, representatives from managed care organizations and policy professionals.

    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 as a resource.

    August 15, 2014
    The demonstration’s Dual Demo Work Plan (PDF) is available for review.

    September 13, 2013
    The Dual Demo Project began on September 13, 2013, and 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) for people with disabilities

    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 and Disability Programs Team Lead

    Rate/Report this page   Report/Rate this page