Michigan's Integrated Care Proposal for Individuals Eligible for both Medicare and Medicaid
On April 26, 2012, the State of Michigan submitted its Integrated Care Proposal (Pilot Program) to the Centers for Medicare and Medicaid Services (CMS), for review and approval. The Pilot Program is Michigan’s plan to jointly manage the care of approximately 200,000 residents who are eligible for both Medicare and Medicaid. The Pilot Program submitted to CMS is not yet available on the Internet for public review. However, the Department of Community Health has prepared a list of FAQs about the Program on its website.
Michigan is one of only 15 states that have submitted a proposal to CMS to integrate the delivery system for dual coverage. This is surprising given the goal is to avoid duplication and reduce costs by integrating the health care delivery system for those covered by both Medicare and Medicaid.
CMS will conduct its own 30-day public review of the Pilot Program. If the State's Pilot Program meets CMS approval, the State will negotiate a memorandum of understanding (an "MOU") with CMS. Following an approval of the MOU, Michigan will undergo a procurement process with CMS to select qualified health plans to provide integrated care during the Pilot Program that would last three years.
The Department hopes to send out requests for proposal in the early fall 2012 to those entities interested in participating in the Pilot Program. Those who are chosen will enter into a three-party contract among CMS, the State, and the health plan that is chosen.
Categories: Insurance, Medicare/Medicaid
Categories
- Lawsuit
- Long-Term Care
- Employment
- Affordable Care Act
- Health Care Reform
- Hospitals
- Labor Relations
- Insurance
- Medicare
- Hospice
- Billing/Payment
- News & Events
- Pharmacy
- Criminal
- Privacy
- HITECH Act
- Electronic Health Records
- Physicians
- Department of Labor
- Regulatory
- Patents
- Licensing
- Tax
- Alerts and Updates
- Accountable Care Organizations
- Compliance
- Workers' Compensation
- Health Insurance Exchange
- Employee Benefits
- Did you Know?
- HIPAA
- Providers
- Medicare/Medicaid
- 6th Circuit Court of Appeals
- Retirement
- Legislative Updates
- Technology
- Regulations
- Medicaid Planning
- Cybersecurity
- COVID-19 and Workers' Compensation
- Fraud & Abuse
- News
- Audits
- Contracts
- Digital Assets
Best Lawyers® 2021
Congratulations to the attorneys of the Health Care practice group at Foster Swift Collins & Smith, PC for their inclusion in the Best Lawyers in America 2021 edition. Firm-wide, 44 lawyers were listed. Best Lawyers lists are compiled based on an exhaustive peer-review evaluation and as lawyers are not required or allowed to pay a fee to be listed; inclusion in Best Lawyers is considered a singular honor. Health Care practice group members listed in Best Lawyers are as follows:
- Jennifer B. Van Regenmorter, Holland
To see the full list of Foster Swift attorneys listed in Best Lawyers 2021, click here.