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Oversight of Transportation Services: Key Considerations for Health Plans
Health plans increasingly will be required to oversee non-emergency transportation services as more states contract for managed long-term services and supports (LTSS). Oversight often refers to preventing fraud and abuse, which requires ensuring that the services being billed are actually
[...]Published Date: April 1, 2019 -
RIC Event: Gathering and Using Member Feedback in Plan Governance
https://youtu.be/dn0G9ZI9Dng?si=aPt0Kq5L2WlPEnFr Members participating in health plan governance can provide valuable feedback to inform plan policies and procedures that address the needs of members and their families and caregivers.1 Following two webinars on engaging members in plan governance and ways to
[...]Published Date: March 27, 2019 -
RIC Event: Recruiting Members and Supporting Participation in Plan Governance
https://youtu.be/gw8ooy0NkBs?si=9Rk8JOpgeqC2lhxg Description: Member engagement in plan governance plays a significant role in shaping the development and refinement of plan policies and procedures that address the needs, preferences, and values of members and their families and caregivers.1 The first webinar of
[...]Published Date: March 5, 2019 -
Resource Compendium: LGBT Cultural Competence in LTSS
Long-term care providers may not always know how to best support LGBT individuals in ways that meet their needs and preferences. Understanding and addressing the unique challenges faced by LGBT individuals who need long-term services and supports can help providers
[...]Published Date: February 19, 2019 -
Resource Compendium: Culturally Competent Long-Term Services and Supports
Long-term services and supports (LTSS) are a vital part of care for many dually eligible beneficiaries. To ensure that LTSS are culturally and linguistically competent, providers and health plans can benefit from strategies for addressing the unique needs, preferences, and
[...]Published Date: February 19, 2019 -
RIC Event: Successfully Engaging Members in Plan Governance
https://youtu.be/VJC3Px7sjgk?si=968qjnKNydC5Au0f Description: Health plans derive significant value from engaging members in defining, designing, participating in, and assessing their care systems. 1 By soliciting and responding to member voices, plans can ensure that policies and procedures are responsive to the needs,
[...]Published Date: January 30, 2019 -
Member Engagement in Plan Governance Webinar Series (2019)
The Member Engagement in Plan Governance Webinar series, hosted by The Lewin Group and supported by the Centers for Medicare & Medicaid Services Medicare-Medicaid Coordination Office, is designed to help health plans engage members in plan governance. This webinar series is
[...]Published Date: January 29, 2019 -
RIC Event: Innovations in Member Engagement in Rural Areas
https://youtu.be/NshpUrRGtFM?si=FdBAuwDc6YIpTRvF Description: In 2013, 27 percent of individuals who received coverage through both Medicare and Medicaid lived in a rural area.1 Dually eligible beneficiaries living in rural areas often contend with distance and transportation barriers, a shortage of primary care
[...]Published Date: November 27, 2018 -
RIC Event: Identifying and Meeting the Language Preferences of Health Plan Members
You can view the webinar recording below. Supporting documents such as webinar slides, transcript, and additional resources are available to download by scrolling to the attachments section below. Over 1.8 million individuals dually eligible for Medicare and Medicaid speak a
[...]Published Date: September 11, 2018 -
RIC Event: Promising Practices for Meeting the Needs of Dually Eligible Older Adults with Schizophrenia
https://youtu.be/3HbJByebJHE?si=zKvLudZH8EeUDolz Description: Older adults who are dually eligible for Medicare and Medicaid have higher rates of schizophrenia and other psychotic disorders than older adults with Medicare only.1 In addition, older adults with schizophrenia are more likely to have co-occurring chronic
[...]Published Date: September 6, 2018