Continuity of Care in the Dual Eligible Demonstrations: A Tool for Advocates

May 2013 — A key protection for dual eligibles who are enrolling in the financial alignment demonstration projects being undertaken by states and the Medicare-Medicaid Coordination Office (MMCO) is continuity of care.  Individuals joining plans participating in the financial alignment demonstrations need a smooth transition without disruption in providers or services while their new plan takes over their care.

The five Memorandums of Understanding (MOUs) that have been approved for the financial alignment model -Massachusetts, Ohio, Illinois, California and Virginia-all discuss care continuity, but each is significantly different.  From a beneficiary point of view, each includes some important protections but all have significant gaps.  Using the five MOUs as a starting point, NSCLC identifies important elements in a continuity of care policy that advocates should address with their states. Read NSCLC’s analysis of proposals.

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