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Integrated Care for Persons Dually Eligible for Medicare and MedicaidThe Michigan Department of Community Health (MDCH) is developing a demonstration to strengthen services and supports for individuals who are dually eligible for Medicare and Medicaid. In the demonstration, services and supports for persons who are dually eligible will be delivered by newly created Integrated Care Organizations (ICOs) and currently existing Prepaid Inpatient Health Plans (PIHPs). ICOs will be responsible for the provision of all physical health, long term care, and pharmacy services, while PIHPs will be expected to cover behavioral health and habilitative services for people with developmental disabilities, mental illness, or substance use issues. The ICOs and PIHPs will be connected through the Care Bridge, a care model that requires the coordination of services and supports between the two entities and involved providers.
Pending approval from the Centers for Medicare and Medicaid Services (CMS), MDCH aims to implement the program in January 2014. MDCH is currently negotiating a Memorandum of Understanding (MOU) with CMS to outline state and federal responsibilities for the demonstration as well as preparing a Request for Proposals (RFP) for entities interested in becoming ICOs. This webpage will be updated as the demonstration continues to develop.
MDCH is hosting a series of public forums to share information about the status of the project, as well as receive feedback on the implementation process from dually eligible individuals, their families, providers, and other interested organizations. These forums will be organized on a quarterly basis and will be rotated amongst the four regions throughout the demonstration period.
Forum #1 - June 25, Forfa Auditorium, Henry Ford Community College, Dearborn, Michigan, 10 a.m. to 12 p.m.
Those who wish to submit comments may do so by sending an e-mail to IntegratedCare@michigan.gov.
Comments can also be submitted through regular mail to:
Medical Services Administration
PO Box 30479
Lansing, MI 48909-7979
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