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 project is also referred to as the “Dual Demo Project”.

The Dual Demo Project 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

    Save the date for the Best Practice Care Coordination Conference, Monday, November 17, 2014.

    Best Practice Care Coordination Conference

    The MN Department of Human Services Dual Demonstration Project is hosting an all-day conference event titled “Best Practice Care Coordination Conference” scheduled for Monday, November 17, 2014 at University of Minnesota’s Continuing Education and Conference Center, St. Paul, MN.

    This conference provides Care Coordinators an opportunity to build practical care coordination skills, discuss current challenges in the field, network with peers, and explore innovations, all in an effort to improve beneficiary experience among seniors enrolled in Minnesota Senior Health Options (MSHO) and Minnesota Senior Care Plus (MSC+). Continuing education credits for nursing and social work are available.

    For more information, please contact Lauren Siegel at lauren.siegel@state.mn.us or 651-431-4210.

    Dual Demo Project Update

    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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