Dual Eligibles

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Multimodal Pain Management: Considerations for Clinicians Treating Pain

Dual eligibles for Medicare and Medicaid have higher levels of chronic pain and use prescription opioids to treat pain more often than those eligible for Medicare only, putting them at a higher risk for opioid misuse or addiction. This brief presents examples of multimodal pain management options that clinicians can consider for treating pain among dually eligible individuals. The resource describes various treatment options, key evidence, and prescribing considerations for each option.

Short URL: http://www.advancingstates.org/node/72631

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Integrated Care Toolkit for People with Medicare and Medicaid

NCOA has partnered with the Medicare Rights Center to develop a toolkit for counselors who work with dual eligibles and beneficiaries. The toolkit includes a break down of coverage options in an easy-to-understand format for counselors and consumers. This toolkit was created following interviews and focus groups with counselors, and will be updated and enhanced with additional materials on an ongoing basis.

Short URL: http://www.advancingstates.org/node/72543

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File Downloads / Links

Informational Bulletin: 2021 Federal Poverty Level Standards

On March 18, 2021 The Centers for Medicare & Medicaid Services (CMS) released a Medicaid Informational Bulletin with the updated 2021 Federal Poverty Level (FPL) Standards. The bulletin also includes the 2021 Dual Eligible Standards chart that displays the new standards for the Medicare Savings Program categories.

Short URL: http://www.advancingstates.org/node/72463

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Why Dually Eligible Beneficiaries Stay or Leave Integrated Care Plans

Supported by Arnold Ventures, Mathematica conducted this study to understand what leads dually eligible beneficiaries to remain in, or disenroll from, D-SNPs. They examined the association of MA quality and member experience scores, and level of Medicaid integration, with voluntary disenrollment rates (VDRs) in D-SNP dominant MA contracts. Download the publication to read more.

Short URL: http://www.advancingstates.org/node/72400

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File Downloads / Links

Addressing Social Needs Amid the COVID-19 Pandemic: A Survey of Dual Eligible Special Needs Plans

In this blog post, ACAP and CHCS share survey results that detail how Community Affiliated Plans (ACAP), including Dual Eligible Special Needs Plan (D-SNP) and Medicare-Medicaid Plans, are addressing existing and new health-related social needs of their dually eligible enrollees during the COVID-19.

Short URL: http://www.advancingstates.org/node/72346

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File Downloads / Links

Aging and Disability Resource Center/No Wrong Door Functions: A Leading Indicator in the 2020 LTSS State Scorecard

ACL and the Lewin Group released a report highlighting key takeaways from the AARP 2020 LTSS State Scorecard on state efforts in establishing high-performing ADRC/NWD systems. The report compares current data with results from the 2017 LTSS State Scorecard. The report provides scores based on five domains in ADRC/NWD system functions. The report also shares promising practices/lessons learned from five states – Alabama, Georgia, Massachusetts, Ohio, and South Dakota.

Short URL: http://www.advancingstates.org/node/72240

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Person-Centered Practices Self-Assessment

This resource aims to help human service agencies in states, tribes, and territories to measure their progress in developing person-centered systems. The Self-Assessment was designed to be used by staff at all levels. The Self-Assessment measures progress in eight different domains: Leadership; Person-Centered Culture; Eligibility & Service Access; Person-Centered Service Planning & Monitoring; Finance; Workforce Capacity and Capabilities; Collaboration & Partnership; and Quality & Innovation

Short URL: http://www.advancingstates.org/node/72236

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