The Foundation's Medicare/Medicaid Integration Program is a state demonstration to test the operation and design of delivery systems that integrate long-term and acute care services under combined Medicare and Medicaid capitation payments for elderly patients. The objectives are to promote integration of acute and long-term care services in managed care plans, create health plan accountability for costs and outcomes, and reduce incentives for cost shifting between Medicare and Medicaid.This Texas model is for aged and disabled persons termed SSI and SSI-related Medical Assistance Only clients. It is designed to integrate primary, preventive, acute, and long-term care services. All dually eligible SSI/SSI-MAO clients are required to enroll in state-contracted HMOs to obtain Medicaid services. Clients are encouraged to obtain Medicare services through the same HMO (and will receive enhanced prescription drug benefits not otherwise available). The pilot site will be Harris County, which includes Houston.
Amount Awarded $292,844.00
Awarded on: 11/24/1997
Time frame: 12/1/1997 - 10/31/2000
Grant Number: 32107