Va to Offer Coordinated Healthcare for Medicare-Medicaid Enrollees

May 21, 2013

Governor Bob McDonnell announces that Virginia has been approved to implement a new healthcare initiative, the Medicare-Medicaid Enrollee (dual eligible) Financial Alignment Demonstration, aimed at coordinating care for more than 78,000 Virginians currently enrolled in Medicare and Medicaid.

The new initiative, recently branded as Commonwealth Coordinated Care, will coordinate care for individuals who meet certain eligibility requirements and are served currently by both Medicare and Medicaid.

Commonwealth Coordinated Care is designed to be the single program accountable for coordinating the delivery of primary, preventive, acute, behavioral, and long-term services and supports for this population.

The goal of this initiative is to provide Virginians high quality health care and supports coordinating the Medicare and Medicaid benefits into a single person-centered program.

“We have long known that the efficiencies and benefits of coordinating Medicare and Medicaid services are far reaching,” said Governor Bob McDonnell. “This enhanced care model will improve and sustain the health of beneficiaries while allowing the state and federal government to realize cost savings as a result of increased care management.”

Efficiencies gained through this program are expected to yield financial savings of $11.3 million in general fund savings to Virginia.

Under the existing structure, Medicare-Medicaid enrollees must use three separate ID cards for Medicare, Medicaid and prescription drugs, have three different sets of benefits. By choosing this voluntary program, individuals will have one ID card for all aspects of their care, a 24 hour/seven day a week toll-free number for assistance, person-centered service coordination and case management, and one appeals process.

Commonwealth Coordinated Care begins in January 2014, and will continue through December 31, 2017. Congressional action will be needed in order for the program to continue beyond 2017.

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