Individuals who are dually eligible for Medicare and Medicaid are more likely than other Medicare beneficiaries to have a mental health diagnosis as well as other complex and chronic conditions.1
Approximately 50% of dually eligible adults aged 18 to 64 report experiencing symptoms of a behavioral health condition in the past year, compared to only 14% of adults aged 18 to 64 who are not dually eligible.2 Additionally, it is estimated that 30-35% of individuals with intellectual and developmental disabilities (I/DD) have a psychiatric disorder.3
Resources for Integrated Care has developed resources for providers and plans serving dually eligible beneficiaries with behavioral health conditions and I/DD. These resources include promising practices and experiences from providers in the field to support the delivery of integrated care that is tailored to the needs of these individuals and helps to alleviate health disparities.
1 Medicare-Medicaid Coordination Office. (2020). [Fact Sheet] People Enrolled in Medicare and Medicaid. Retrieved from https://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/Downloads/MMCO_Factsheet.pdf.
2 Substance Abuse and Mental Health Services Administration. Center for Behavioral Health Statistics and Quality. The CBHSQ Report July 15 2014. Retrieved from https://www.samhsa.gov/data/sites/default/files/SR180/sr180-dual-eligibles-2014.pdf.
3 National Core Indicators. (2019). National Core Indicators Data Brief. Retrieved from https://www.nationalcoreindicators.org/upload/core-indicators/NCI_DualDiagnosisBrief_Oct072019.pdf.
