Minnesota’s Demonstration to Integrate Care for Dual Eligibles

  • Overview
  • Public Meetings
  • What’s New
  • Dual Demo Historical Information
  • Integrated Care System Partnerships (ICSPs)
  • Related Information
  • Minnesota DHS Contacts
  • Overview

    The Minnesota Department of Human Services (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 was scheduled to end Dec. 31, 2016. CMS approved an extension of the demonstration until Dec. 31, 2018, under an extended MOU (PDF). There are no substantial changes to note from the original MOU. The extension by CMS allows for the waivers and objectives to be continued through 2018, which will support continued efforts to improve beneficiary experience in the integrated senior managed care program, MSHO.

    The demonstration 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 stakeholders, advocates, clients and other interested parties.

    Stakeholders can also subscribe here to receive updates related to the Dual Demo and upcoming meetings with Special Needs Purchasing. Stakeholders can also refer to the Special Needs Purchasing meeting registration page to register for upcoming meetings and conferences.

    What’s New

    Final Grant Summary Released for the Minnesota Senior Health Options (MSHO) Diversity Outreach Grants
    Briva Health, Lao Assistance Center of Minnesota, Stairstep Foundation and Volunteers of America received federal funding through the Dual Demonstration grant to do outreach and collect feedback about the MSHO program from culturally diverse communities. The grant period was from Sept. 1, 2015, to Aug. 31, 2016. Through the grants, the organizations were able to hold 69 open house and engagement events, establish partnerships with 63 other organizations to spread the word about MSHO, and provide one-on-one choice counseling to 427 people. The work from these grants has helped DHS determine next steps for promoting equity in the MSHO program. For more information, see the equity recommendations and a summary of the grants (PDF).

    Dual Demonstration Grant Ends, Dual Demonstration MOU is Extended
    Since September 2013, Minnesota has had an MOU with CMS and CMS has provided funding to Minnesota to support the work of the MOU to improve beneficiary experience among dual-eligible seniors, known as the “Dual Demonstration”. The grant ended on Aug. 31, 2016, but the MOU has been extended through December 2018. This MOU (PDF) will provide a continued opportunity to align administrative functions between Medicare and Medical Assistance for Minnesota’s program for dual-eligible seniors, Minnesota Senior Health Options, in order to improve beneficiary experience. Over the last three years, the Dual Demonstration MOU has successfully implemented initiatives which promote collaboration between Minnesota and CMS, improve coordination of services, set simplified and unified program administration rules and materials, and advocate for more appropriate measures of quality for this program. This MOU extension has the same content as the previous version, however, it has updated dates in which the MOU is effective and allows continued work to take place and provides an opportunity for setting the continuation of these improvements.

    Bailit Health Releases Final Evaluation Report on the Integrated Care System Partnership Initiative
    DHS contracted with Bailit Health to evaluate the overall Integrated Care System Partnership (ICSP) initiative. At the end of August 2016, they published their final report (PDF) that includes recommendations for the state to make enhancements to the initiative and to better support effective partnerships. Bailit has also created an implementation plan and the Dual Demonstration team is working to integrate some of the recommendations into the initiative and to determine next steps for the remaining implementation items.

    Dual Demo Milestones

    October 26, 2016
    The Dual Demonstration MOU was extended from Dec. 31, 2016, to Dec. 31, 2018. This MOU doesn’t have any substantial changes from the original MOU. The extension allows for the waivers and objectives to be continued through 2018, which will support continued efforts to improve beneficiary experience in the integrated senior managed care program, MSHO.

    September 29, 2016
    The Care Coordination Learning Day was held for over 650 care coordinators on Sept. 29, 2016.

    August 30, 2016
    The MSHO Cultural Outreach Grantees selected to do cultural outreach for the MSHO program presented their grant findings, lessons learned and recommendations to stakeholders at the DHS Elmer Andersen building.

    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 Sept. 1, 2015, through Aug. 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 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 and Disability Programs Team Lead

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