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This issue briefÌýfrom ºìÁì½í¹Ï±¨,ÌýMedicare-Medicaid Integration: Essential Program Elements and Policy Recommendations for Integrated Care Programs for Dually Eligible IndividualsÌýis part of a multi-phased research initiative to increase enrollment in integrated care programs (ICPs)^[1]Ìýthat meet full benefit dually eligible individuals’^[2]Ìýneeds and preferences. Dually eligible individuals have a range of chronic conditions and disabilities requiring both Medicare and Medicaid services, which makes integrated programs important to their lives.

For a succinct overview of the essential elements and policy recommendations, please access theÌýbrief fact sheet. For a full discussion of the elements and policy recommendations, please access theÌýfull brief.

The authors are Sarah Barth, Ellen Breslin, Samantha DiPaola and Narda Ipakchi.^[3]

For further information or questions, contact Sarah Barth, Ellen Breslin or Samantha DiPaola.

[1]ÌýIntegrated Care Programs (ICPs): For this research, we defined ICPs as financing and care delivery organizing entities or programs that coordinate and integrate Medicare and Medicaid-covered services and supports for dually eligible individuals.They include the Centers for Medicare & Medicaid Services (CMS) Financial Alignment Initiative (FAI) capitated and fee-for-service models; the Program of All-Inclusive Care for the Elderly (PACE); Medicare Advantage (MA) Fully Integrated Dual Eligible Special Needs Plans (FIDE SNPs); Medicaid Managed Long-Term Service and Supports Program (MLTSS) managed care organizations and aligned MA dual eligible special needs plans (D-SNPs); and state-specific programs that may be proposed to CMS.

[2]ÌýDually Eligible Individuals:ÌýWhen using the term dually eligible individuals, we are referencing Medicare-Medicaid full benefit dually eligible individuals (FBDEs), those who qualify for full Medicaid benefits.

[3]ÌýNarda Ipakchi was formerly a Senior Consultant with ºìÁì½í¹Ï±¨.