• Introduction and Learning Objectives
• MLTSS Basics
• Universal Features
• Program Design Choices
• Federal Authorities
• Organizational Capacity & Competencies
• Case Studies

Case Study 2: Enrollment & Medicare

Tom reports his conversation at the next HSSS meeting. Then, the Commissioner of Aging and Disability rasies a new twist.

 

Based on what you learned in the Enrollment and Medicare sections, what do you think? Can Medicare beneficiaries be mandated into managed care? Yes, the 1915(b) waiver applies to both Medicaid and Medicare. Yes, but only with an 1115 waiver. No, Medicare enrollment must remain voluntary.