A new Direct Contracting option is an opportunity for Medicaid managed care organizations to utilize new care management tools and leverage existing expertise in managing care for dual-eligible beneficiaries to improve outcomes and share in Medicare financial savings. The Centers for Medicare and Medicaid Services introduced this option in December 2020, to take effect in January 2022.
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Direct Contracting Duals Model: Medicaid MCOs managing Medicare FFS costs for dual-eligible beneficiaries
Centers for Medicare and Medicaid introduced the Direct Contracting entity for individuals dually eligible for Medicaid and Medicare in December 2020.