Minnesota’s Demonstration to Integrate Care for Dual Eligibles


DHS and the Centers for Medicare & 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 (MSHO) program. The demonstration is also referred to as the “Dual Demo.”

The Dual Demo began on Sept. 13, 2013, and continues until Dec. 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 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 such as the Dual Demo and get input from clients, stakeholders and other interested parties.

    What’s New


    Registration opens on Monday, July 6, 2015, for the stakeholder conference about managed care programs for seniors and people with disabilities, entitled “New Connections for Self-Advocacy and Innovation.” Stakeholders of the MSHO, MSC+ and SNBC programs are invited to attend. For stakeholder planning purposes, a conference overview is available.

    Date and Time: Friday, Aug. 21, 2015 – 8:00 a.m. to 4:30 p.m.

    Location: Radisson Blu - Mall of America in Bloomington, MN

    Registration: Registration opens July 6, 2015, at Special Needs Purchasing Meeting Registration. There is no charge to attend this conference.

    Conference content:
    The content of this conference will be geared toward all stakeholders, including program members, providers, managed care organizations and advocates. The conference agenda with session descriptions is now available.

    Free Metro Transit passes are available for program members and participants to get to and from the conference. On the registration page under “stakeholder role,” choose “Member/Participant – Need a metro pass.” You will need to fill in your email address inorder to receive the transportation pass before the conference.

    Refreshments and lunch:
    Beverages and snacks will be provided. A lunch break will allow time for conference attendees to purchase lunch at the Mall of America food court or local restaurants on your own. You may also bring your own bagged lunch, but will need to eat it off the premises of the Radisson Blu.

    Dual Demo News Updates

    In December of 2014, the Dual Demo launched the first Dual Demo News update via 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

    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 web page, 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 Sept. 13, 2013, and continues until Dec. 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/Disability Programs Team Lead

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