Department of Medical Assistance Services
INTEGRATED CARE For MEDICARE-MEDICAID ENROLLES
MISSION STATEMENT

To provide Virginians high quality healthcare and supports by coordinating the benefits of Medicare and Medicaid into a single, person-centered program.

OVERVIEW

Commonwealth Coordinated Care is a new initiative to coordinate care for individuals who are currently served by both Medicare and Medicaid and meet certain eligibility requirements. The program is designed to be Virginia’s single program to coordinate delivery of primary, preventive, acute, behavioral, and long-term services and supports. In this way, the individual receives high quality, person centered care that is focused on their needs and preferences.

The goals of this initiative include: improved quality and health outcomes, streamlined Medicare and Medicaid requirements, increased accountability, reduced burden for enrollees and providers, providing care in each individual’s setting of choice, and reduced avoidable services. Supplementary benefits will include care coordination, interdisciplinary care teams, and person-centered care plans.

INFORMATION LINKS

Background Information and Documents
Stakeholder Meetings
Medicare and Medicaid Enrollees
Service Provider
Health Plans
Advisory Committee
Contact Information
CAPITATION RATES

CMS Medicare & Medicaid Rate Report
The Full Medicaid Rate Report
MEMA - Memo on the Member Enrollment Mix Adjustment