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ColoradoFinacialAlignmentProposal_508

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Nội dung chi tiết: ColoradoFinacialAlignmentProposal_508

ColoradoFinacialAlignmentProposal_508

State Demonstrations to Integrate Care for Dual EligiblesDemonstration ProposalColoradoSummary: In 2011, Colorado was competitively selected to receiv

ColoradoFinacialAlignmentProposal_508ve funding through CMS' State Demonstrations to Integrate Care for Dual Eligible Individuals. As part of this Demonstration, CMS provided support to t

he State to design a demonstration proposal that describes how it would structure, implement, and monitor an integrated delivery system and payment mo ColoradoFinacialAlignmentProposal_508

del aimed at improving the quality, coordination, and cost-effectiveness of services for dual eligible individuals. Through the demonstration proposal

ColoradoFinacialAlignmentProposal_508

, the State must demonstrate its ability to meet or exceed certain CMS established standards and conditions including beneficiary protections. These s

State Demonstrations to Integrate Care for Dual EligiblesDemonstration ProposalColoradoSummary: In 2011, Colorado was competitively selected to receiv

ColoradoFinacialAlignmentProposal_508o determine whether the standards and conditions have been met. States are asked to submit a demonstration proposal that outlines their proposed appro

ach for integrating care for dual eligible individuals. The Colorado Department of Health Care Policy and Financing has submitted this proposal for CM ColoradoFinacialAlignmentProposal_508

S review.As part of the review process, CMS will seek public comment through a 30-day notice period. During this time interested individuals or groups

ColoradoFinacialAlignmentProposal_508

may submit comments to help inform CMS' review of the proposal.CMS will make all decisions related to the implementation of proposed demonstrations f

State Demonstrations to Integrate Care for Dual EligiblesDemonstration ProposalColoradoSummary: In 2011, Colorado was competitively selected to receiv

ColoradoFinacialAlignmentProposal_508 (e.g., quality measures, rate methodology, etc.) may be required before any formal agreement is finalized.Publication of this proposal does not imply

CMS approval of the demonstration.Invitation for public comment: We welcome public input on this proposal. To be assured consideration, please submit ColoradoFinacialAlignmentProposal_508

comments by 5 p.m. EDT, June 30, 2012. You may submit comments on this proposal to CO-MedicareMedicaidCoordinationgicms.hhs.gov.STATE OF COLORADODEPA

ColoradoFinacialAlignmentProposal_508

RTMENT OF HEALTH C ARE POLICY AND FINANCINGPROPOSAL TO THE CENTER FOR MEDIC ARE AND MEDIC AID INNOVATIONSTATE DEMONSTRATION TO INTEGRATE C ARE FOR DUA

State Demonstrations to Integrate Care for Dual EligiblesDemonstration ProposalColoradoSummary: In 2011, Colorado was competitively selected to receiv

ColoradoFinacialAlignmentProposal_508................................................................3i.Vision and rationale..............................................................3

ii.Description of the population.....................................................4c.Care Model Overview........................................... ColoradoFinacialAlignmentProposal_508

....................5i.Delivery system elements..........................................................5ii.Benefit design...........................

ColoradoFinacialAlignmentProposal_508

........................................13iii.Ancillary and supportive services...............................................14iv.Evidence-based prac

State Demonstrations to Integrate Care for Dual EligiblesDemonstration ProposalColoradoSummary: In 2011, Colorado was competitively selected to receiv

ColoradoFinacialAlignmentProposal_508takeholder Engagement and Beneficiary Protections...............................19i.Stakeholder engagement in the design phase........................

...............19ii.Beneficiary protections..........................................................21iii.Ongoing stakeholder input.................. ColoradoFinacialAlignmentProposal_508

.....................................23E.Financing and Payment............................................................24i.Payment methodology.....

ColoradoFinacialAlignmentProposal_508

.........................................................24ii.State-level payment reforms......................................................26F.Exp

State Demonstrations to Integrate Care for Dual EligiblesDemonstration ProposalColoradoSummary: In 2011, Colorado was competitively selected to receiv

ColoradoFinacialAlignmentProposal_508.............30i.Capacity to implement and oversee................................................30ii.Need for waivers...............................

..................................31 ColoradoFinacialAlignmentProposal_508

State Demonstrations to Integrate Care for Dual EligiblesDemonstration ProposalColoradoSummary: In 2011, Colorado was competitively selected to receiv

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