State Medicaid Director Letter: Three New Opportunities to Test Innovative Integrated Care Models for Individuals Dually Eligible for Medicaid and Medicare

As a 2019 strategic priority, Centers for Medicare & Medicaid Services (CMS) is redoubling efforts to better serve older adults and people with disabilities dually eligible for Medicaid and Medicare. The goal is to create a more seamless experience across the two programs while ensuring that incentives are aligned and pointed toward lower cost and better outcomes.

On April 24, CMS sent a letter to State Medicaid Directors inviting states to partner on testing innovative approaches to better serve those who are dually eligible for Medicare and Medicaid. Many of these 12 million beneficiaries have complex healthcare issues and often have socioeconomic risk factors that can lead to poor outcomes. This letter opens new ways to address those needs, align incentives, encourage marketplace innovation through the private sector, lower costs, and reduce administrative burdens.

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Announcing the National Center on Advancing Person-Centered Practices and Systems

The Administration for Community Living and the Centers for Medicare & Medicaid Services announce the launch of the National Center on Advancing Person-Centered Practices and Systems (NCAPPS).

During the past 30 years, systems for people with disabilities and older adults with long-term service and support needs have generally shifted to embrace person-centered principles, premised on the belief that people should have the authority to define and pursue their own vision of a good life. Yet, the degree to which these systems have fully adopted person-centered practices varies, and many continue to grapple with how to effectively implement them.

The goal of NCAPPS is to promote systems change that makes person-centered principles not just an aspiration, but a reality in the lives of people who require services and supports across the lifespan. NCAPPS will assist states, tribes, and territories to transform their long-term care service and support systems to implement U.S. Department of Health and Human Services policy on person-centered thinking, planning, and practices. It will support a range of person-centered thinking, planning, and practices, regardless of funding source. Activities will include providing technical assistance to states, tribes, and territories; establishing communities of practice to promote best practices; hosting educational webinars; and creating a national clearinghouse of resources to support person-centered practice.

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