全球智库信息集成服务系统

A growing number of states are integrating physical and behavioral health services for beneficiaries dually eligible for Medicare and Medicaid. These beneficiaries not only have complex needs, but must also navigate between separate programs (Medicare and Medicaid) and care delivery systems (physical and behavioral health) for their services. This brief explores the experience of six states that have achieved varying levels of behavioral health and physical health integration or collaboration for dually eligible beneficiaries within a managed care environment. States are implementing their models of integration through contracts with Medicare-Medicaid Plans or Medicaid managed care plans that are aligned with Medicare Advantage Dual Eligible Special Needs Plans. Regardless of the model chosen, the essential components of integration or coordination are the same, including combining the cultures of behavioral and physical health, information sharing, designing care management and coordination, provider training, and program monitoring and quality improvement. States can encourage the development of these components irrespective of the integration model.