Minnesota’s Demonstration to Integrate Care for Dual Eligibles

Overview

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 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

    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.
  • • This learning day will provide opportunities for care coordinators to learn about new care coordination requirements and strategies for effective care coordination.
  • • Registration will open at 8 a.m. on Wednesday, August 17, 2016. More information is available in a flier (PDF). Participants can register online. Registration is free.
  • • Lunch will be on your own. 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.
  • • This 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, Minnesota SeniorCare Plus (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


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