In December 2010, CMS announced the State Demonstrations to Integrate Care for Dual Eligible Individuals, a competitive solicitation for proposals to design person-centered models that coordinate primary, acute, behavioral and long-term supports and services for Medicare-Medicaid enrollees. There were 15 states that were selected to participate in this demonstration. The 15 states that were selected were: California, Colorado, Connecticut, Massachusetts, Michigan, Minnesota, New York, North Carolina, Oklahoma, Oregon, South Carolina, Tennessee, Vermont, Washington, and Wisconsin. The main requirement for participation was to increase care coordination. From a managed care standpoint, this means getting providers , including medical professionals, to spend more time on care coordination and less time on authorizations and denial appeals. The health plans themselves need to increase member services. With that, let's take a look at some states that are currently implementing or running Managed Care for I/DD services.

The MediSked Blog
Tags: Managed Care
Tags: ID/DD News
Taking the Leap: A Computer System for Provider Agencies
Posted by Mike Holihan on Thu, Apr 10, 2014 @ 10:43 AM
One phrase we hear all of the time from agencies we work with is "I don't know how we use to manage our agency before we implemented MediSked Connect." And while it's always nice to feel needed, the real message is: For our agency to be around in 10 - 20 years, we HAD to move to electronic records. There are signs and trends in our industry that point to the need for computer systems for provider agencies. Some of them include:
Tags: Person-Centered Services, Provider Agencies, Reporting
Last month we recognized National Disability Awareness Month and move into April with the same appreciation. Please take some time to review the articles below.
Tags: ID/DD News, Affordable Care Act