Individuals Covered By Both Medicare and Medicaid (Duals)

AHCCCS is working to increase alignment and improve service delivery for people covered by both Medicare and Medicaid. These individuals, commonly referred to as “duals,” are currently navigating multiple systems to receive care. This site will be the major resource for communication on this process so continue to check for updates as available.

Overview and Data

• Director’s Testimony to U.S. Senate Committee on Finance – 12/13/12
• Arizona Medicare-Medicaid Enrollees By County 10/2012
• Avalere Health Study re Dual Eligibles 7/2012
• Director’s Testimony to U.S. Senate Special Committee on Aging – 7/18/12
• Arizona Medicare-Medicaid Enrollee State Profile
• Kaiser Tutorial on Dual Eligibles
• D-SNP Contracting Policy [62KB]
• AHCCCS/Medicare Duals Fact Sheet [13KB]
• Arizona August 2011 D-SNP Enrollment [12KB]
• Arizona Duals Population by Medicaid Eligibility [15KB]
• Duals National Spending [87KB]
• Informational Presentation 3/6/12 [166KB]

Demonstration Proposal

• Capitated Financial Alignment Withdrawal 4/10/13 [196KB]
  • Memo to AHCCCS Contractors 4/11/13 [22KB]
• Final Dual Integration Proposal – 05/31/12 [2125KB] 
• Public Comments to DRAFT Proposal [142KB]
• Draft Proposal 4/17/12 [273KB]
• Draft Proposal Presentation for 4/18/12 [PowerPoint, 161KB]

Acute Care RFP Dual Demonstration Project Requirements

• Medicare Demonstration Project Requirements for Acute RFP Bidders [18KB]
• AHCCCS Acute Health Plan Medicare Timeline [18KB]

Regulatory Information

• AHCCCS Memo to Interested Organizations 1/15/13 [315KB]
• MA State Certification Form [137KB]
• MMP State Certification Form [137KB]
• Arizona Capitated Financial Alignment Demonstration Requirements [40KB]  
• CMS Memo 1/9/13: 2014 Capitated Financial Alignment Demonstration
  Timeline [549KB]  
• 2014 Medicare-Medicaid Plan Application [941KB]  
• 2014 SNP Application Information
• CMS Memo 2014 NOIA Timelines [243KB]
  • AHCCCS Letter to Organizations 12/18/12 [20KB]
• CMS Memo 9/20/12: Part D Cost Sharing for Medicare-Medicaid Plans [372KB]
• CMS Medicare-Medicaid Coordination Office Website
• 2013 Capitated FAD Application [1.7MB]
• CMS Rate Setting Document 5/29/12 [300KB]
• CMS Memo 3/29/12 [342KB]
• CMS Dual Demonstration Application [1.8MB]
• CMS Memo 1/25/12 [320KB]
• State Medicaid Director Letter #11-008
  • Response - LOI to CMS [53KB]
  • Response - Updated LOI to CMS [71KB]
• Proposed Rule
  • Arizona’s Comments [24KB]

Stakeholder Engagement

Stakeholder involvement and input is critical to this process. AHCCCS is developing a process to ensure stakeholder engagement. This process will include outreach to Medicaid beneficiaries and their families, the provider community, advocacy and community based organizations as well as health plans and other interested parties. For additional information, please click on the links below.

• Duals Digest Newsletters
  • Duals Digest June 2012 [148KB]
  • Duals Digest May 2012 [148KB]
  
  
• Community Forums
  • Health Plans Meeting 10/18/12 [343KB]
  • Public 6/8/12 [26KB]
  • Health Plans Workgroup Agenda 5/7/12 [27KB] 
  • Public 4/18/12 [645KB]
  • Nursing Facilities 4/9/12 [47KB]
  • Consumers with Serious Mental Illness 3/28/12 [490KB]
  • Advocates 3/27/12 [49KB]
  • Providers 3/22/12 – 3/27/12 [50KB]
  • Consumers 3/19/12 – 4/3/12  [60KB]
  • Health Plans 2/28/12 [297KB]
  • Schedule of All Forums [15KB]
  
  
• Surveys
  AHCCCS welcomes additional input in designing services for dual eligibles. If you can’t attend one of the meetings listed above, please take a moment to complete the following survey.*
  
  • Duals Survey  [*Note: Survey is closed as of 6/1/12]
  • Encuesta para Duals - Español  [*Nota: La encuesta está cerrada desde el 6/1/12]
  • Consumer Survey Notice 3/27/12 [48KB]

• Stakeholder Summary
  AHCCCS has worked with various stakeholders, including consumers, in obtaining feedback on developing a Dual Integration proposal. Information about that process is included in the link below.

  Dual Integration Stakeholder Report [352KB]

Contact Us

You may also tell us your comments at the contact information below. All comments will be considered.