D epartment of Health & Human Services
Centers for Medicare & Medicaid Services
7500 Security Boulevard
Baltimore, Maryland 21244-1850
Center for Medicaid and State Operations
Dear State Medicaid Director:
The Centers for Medicare and Medicaid (CMS) is releasing the new Integrated Medicare and Medicaid State Plan Preprint for States that want to integrate and coordinate Medicare and Medicaid services for dual eligible beneficiaries. Attached to this letter are the instructions and Preprint template for State use.
The State Plan Preprint for Integrated Care Programs was developed for States to use on a voluntary basis as a tool to demonstrate and explain the key features of their Integrated Care Programs. The Preprint allows States the ability to highlight the arrangements provided between a State and Medicare Advantage Special Needs Plans (SNPs) that are also providing Medicaid services. The Preprint also provides the opportunity for States to confirm that their integrated care model complies with both federal statutory and regulatory requirements.
It is important for States to understand that the Preprint does not replace the need for States to operate under the appropriate statutory authorities and to be in compliance with both statutory and regulatory requirements. States will still need to follow the usual process for submitting waiver applications and contracts required under federal law to the appropriate CMS Regional and Central Office components.
CMS hopes this Preprint will help facilitate States’ efforts to move toward developing integrated delivery system of care for dual eligibles. The goal of providing the full array of Medicare and Medicaid benefits through a single health plan is to improve the quality of care for dual eligible beneficiaries with better care coordination and fewer administrative burdens.
The CMS contact for the State Plan Preprint for Integrated Care Programs is Ms. Gale Arden, Director, Disabled and Elderly Health Program Group, who may be reached at 410-786-6810.
Sincerely,
Dennis G. Smith
Director
Enclosure
Page 2 – State Medicaid Director
cc:
CMS Regional Administrators
CMS Associate Regional Administrators
for Medicaid and State Operations
Martha Roherty
Director, Health Policy Unit
American Public Human Services Association
Joy Wilson
Director, Health Committee
National Conference of State Legislatures
Matt Salo
Director of Health Legislation
National Governors Association
Jacalyn Bryan Garden
Director of Policy and Programs
Association of State and Territorial Health Officials
Christie Raniszewski Herrera
Director, Health and Human Services Task Force
American Legislative Exchange Council
Lynne Flynn
Director of Health Policy
Council of State Governments
File Type | application/msword |
File Title | DEPARTMENT OF HEALTH & HUMAN SERVICES |
Author | CMS |
Last Modified By | CMS |
File Modified | 2007-09-11 |
File Created | 2007-09-11 |