Medicare

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Integrated Care for People with Medicare and Medicaid

NCOA, in partnership with the Medicare Rights Center, recently expanded the resources in their toolkit that help explain integrated care coverage options for dual eligibles. New items in the toolkit include a video tutorial explaining integrated care, an infographic for counselors, and comparison charts highlighting the differences between Original Medicare, PACE, Duals Special Needs Plans (D-SNPs) and integrated D-SNPs.

Short URL: http://www.advancingstates.org/node/73204

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Adding Dental to Medicare Part B: 31 Million Low-Income Enrollees Would Gain Access to Medicare Coverage

Justice in Aging's fact sheet, Adding Dental to Medicare Part B: 31 Million Low-Income Enrollees Would Gain Access to Medicare Coverage, describes how millions of low-income Medicare enrollees and Medicare enrollees of color would gain access to coverage if a dental benefit is added to Medicare Part B.

Short URL: http://www.advancingstates.org/node/73169

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CMS Translates Medicare & You Handbook into Chinese, Vietnamese, and Korean

CMS announced the 2022 Medicare & You Handbook will be available in Chinese, Vietnamese, and Korean, as well as English and Spanish. Medicare & You is a resource designed to help Medicare enrollees make decisions about their coverage. The new Chinese version, along with Spanish, large print, audio book, and braille versions of Medicare & You are available on Medicare.gov.

Short URL: http://www.advancingstates.org/node/73111

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The Biden-Harris Administration Expands Vaccination Requirements for Health Care Settings

The Administration will require COVID-19 vaccination of staff within all Medicare and Medicaid-certified facilities to protect themselves and patients from the COVID-19 Delta variant. On Thursday, September 9, 2021, CMS, in collaboration with the CDC, announced that emergency regulations requiring vaccinations for nursing home workers will be expanded to include hospitals, dialysis facilities, ambulatory surgical settings, and home health agencies, among others.

Short URL: http://www.advancingstates.org/node/73073

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Senior Medicare Patrol (CMP) COVID-19 Fraud Resources

The Senior Medicare Patrol (SMP) is ready to provide you with the information you need to PROTECT yourself from Medicare fraud, errors, and abuse; DETECT potential fraud, errors, and abuse; and REPORT your concerns. SMPs help educate and empower Medicare beneficiaries in the fight against health care fraud. Your SMP can help you with your questions, concerns, or complaints about potential fraud and abuse issues. It also provides information and educational presentations.

Short URL: http://www.advancingstates.org/node/72305

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Integrated Care Programs for Dually Eligible Individuals in the Era of COVID-19: Response Efforts and Policy Recommendations

CHCS and Speire Healthcare Strategies released a report about COVID-19 response efforts from states and health plans that offer integrated care programs for duals. People who are dually eligible for Medicare and Medicaid are among the nation’s most vulnerable to the coronavirus. The report outlines opportunities to support integration and identifies opportunities to strengthen programs and policies to best support the dual eligible population during the pandemic and in the future.

Short URL: http://www.advancingstates.org/node/72191

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State Medicaid & CHIP Telehealth Toolkit: Policy Considerations for States Expanding Use of Telehealth - COVID-19 Version

CMS released a new supplement to its State Medicaid & CHIP Telehealth Toolkit that provides new examples and insights into lessons learned from states that have implemented telehealth changes. The toolkit includes approaches and tools states can use to communicate with providers on utilizing telehealth. The toolkit includes updates and consolidates the FAQs and resources for states to consider as they begin planning beyond the temporary flexibilities provided in response to the pandemic.

Short URL: http://www.advancingstates.org/node/72188

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State Medicaid & CHIP Telehealth Toolkit: Policy Considerations for States Expanding Use of Telehealth - COVID-19 Version: Supplement #1

The updated supplemental information is intended to help states strategically think through how they explain and clarify to telehealth providers and other stakeholders which policies are temporary or permanent. It also helps states identify: • Services that can be accessed through telehealth • Which providers may deliver those services • Ways providers may use in order to deliver services through telehealth, • Circumstances under which telehealth can be reimbursed once the PHE expires

Short URL: http://www.advancingstates.org/node/72187

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Reimbursement for Evidence-Based Health Promotion Programs in the Community: Strategies and Approaches to Medicaid and Medicare Advantage Coverage

NCOA and Health Management Associates (HMA) have released a new report detailing eight strategies and approaches to expand funding for evidence-based health programs. NCOA and HMA reviewed five states and one city- California, Colorado, Maine, Massachusetts, New York City, and Washington- with community-based organizations that have strong partnerships with Medicaid agencies and managed-care organizations.

Short URL: http://www.advancingstates.org/node/72186

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De-Mystifying Data: How Medicare Data Can Support Medicaid Agencies

This issue brief from the MLTSS Institute focuses on aspects of delivering effective care to individuals eligible for both Medicare and Medicaid (dually eligible individuals).The brief provides a primer on the ways that Medicare data can help states better deliver care to dually eligible individuals; it also details information about data sources and other resources available to help obtain and analyze Medicare data.

Short URL: http://www.advancingstates.org/node/72175

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