New York Partner’s with CMS to Coordinate Care for Medicare-Medicaid Enrollees with I/DD

This partnership will create a program demonstration known as Fully Integrated Duals Advantage for Individuals with Intellectual and Developmental Disabilities (FIDA-IDD) to better serve individuals with intellectual and developmental disabilities who are eligible for both Medicare and Medicaid and will focus on individual’s long-term care needs.  The FIDA-IDD Demonstration will offer more opportunities for individuals to direct their own services, be involved in care planning, and live as independently in the community as possible. FIDA-IDD Demonstration does not allow for passive enrollment of eligible individuals and includes a benefit package tailored to support individuals with intellectual and developmental disabilities.

Some of the highlights of the demonstration include: 

• Care coordination services available to all enrollees that are built on the enrollee’s specific preferences and goals to ensure the integration of the enrollee’s medical, behavioral health, long-term services and supports, and social needs, 
• Performance metrics to ensure that enrollees receive high-quality care,
• Continuity of care requirements to ensure that enrollees can continue to see their current providers during their transitions into the FIDA-IDD Plan, and;
• An external evaluation for the FIDA-IDD Demonstration that will measure quality, including overall beneficiary experience of care, care coordination, and support of community living, as well as changes in Medicare and Medicaid costs.   

FMI: about the Financial Alignment Initiative, please visit: https://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/FinancialAlignmentInitiative/FinancialModelstoSupportStatesEffortsinCareCoordination.html