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Upcoming Events

MMCP INFORMATIONAL MEETINGS

Blue Cross of Idaho will be holding public informational meetings for all Dual Eligible beneficiaries on the following dates: 

JANUARY SCHEDULE
C
aldwell:
Invite: Caldwell and surrounding cities – Homedale, Greenleaf, Wilder, Notus, and Parma (not Nampa – they will have their own office hours in February)
Dates: January 4, 11, and 25
Times: 12, 1:30 and 3 p.m.
Location: In the East Grand Teton Room at the Caldwell Medicaid Office, 3402 Franklin Road, Caldwell, ID

Payette:
Invite: Payette, Gem and Washington Counties
Dates: January 6 and 20
Times: 12 and 2 p.m.
Location: In the Payette Main Conference room at the Payette IDHW Office, 515 N. 16th Street, Payette, ID 83661

Twin Falls:
Invite: Twin Falls and surrounding cities
Dates: January 12, 19, and 26
Times: 11 a.m. and 1 p.m.
Location: In Conference Room A&C at the Twin Falls IDHW Office, 601 Pole Line Rd, Twin Falls, ID 83301


FEBRUARY SCHEDULE
Idaho Falls:
Invite: Idaho Falls and surrounding cities
Date: February 1, 2016
Times: 10 a.m., 11:30 a.m. and 1 p.m.
Location: State Office Building, 150 Shoup Ave, 2nd Floor Large Conference Room

Pocatello
Invite: Pocatello and surrounding cities
Date: February 2, 2016
Times: 10 a.m., 11:30 a.m. and 1 p.m.
Location: 1070 Hiline Rd., Second Floor Conference Room

Twin Falls
Invite: Twin Falls and surrounding cities
Date: February 3, 2016
Times: 11 a.m. and 12:30 p.m.
Location: 601 Pole Line Rd., Conference Room A

Boise
Invite: Boise and surrounding cities
Dates: February 9, 16, and 23, 2016
Times: 12:00 Noon, 1:30 p.m. and 3:00 p.m.
Location: 1720 Westgate Dr., Boise, ID Suite B (Northwest side entrance), of the Boise Health & Welfare Building

Nampa
Invite: Nampa and surrounding cities
Dates: February 10, 17 and 24, 2016
Times: 12:00 Noon, 1:30 p.m. and 3:00 p.m.
Location: Conference Room #173 at the Nampa IDHW Office, 823 Park Centre Way, ID 83651

A Dual Eligible beneficiary is anyone who is over the age of 21 and enrolled in Medicare (A&B) and full Medicaid. The MMCP is a Medicaid program specifically for Duals.

'Sky is the Limit' on Membership

The Medicare Medicaid Coordinated Plan (MMCP) is a type of Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) that enrolls individuals over the age of 21 that are eligible for both Medicare and Medicaid. The MMCP was created as a route to better integration between Medicare and Medicaid, in turn leading to better quality, higher value healthcare for enrollees.

The Idaho Department of Health & Welfare (IDHW) has contracted with Blue Cross of Idaho to administer most of the state’s Medicaid benefits, including long-term care, home and community based services, and the coordination of the delivery of Medicare and Medicaid services. The MMCP is also required to integrate Medicare and Medicaid processes for enrollment, member materials, communications, grievance and appeals, and quality improvement.

In July 2014, the MMCP was enhanced to include Long Term Services and Supports. At the time of implementation the enrollment was under 700 members. As of November 1, 2015 enrollment is over 1,800 members, an increase of 163% in 15 months. So what is the secret to the success of the MMCP? In addition to Care Coordination, the State’s program offers several benefits that may account for part of its popularity. These include an annual eye exam and $100.00 toward eyewear, one Blue Cross of Idaho Identification card for all medical and pharmaceutical services, access to the Blue Cross of Idaho provider network, and the star of the benefits – Care Coordination.

As evidence of the commitment to improving the quality of healthcare to Idaho Duals, Blue Cross has announced a pilot program exclusively for MMCP participants called Home Stay. The pilot program is designed to allow participants with chronic conditions to live in their own residence for as long as possible by:

1.  Detecting early changes in functional status that can lead to medical decompensation, emergency room visits, or inpatient hospital stays,

2.  Serving as an additional level of virtual HIPAA-compliant monitoring that can provide useful information to the enrollee and their care giver team, and

3.  Avoiding or delaying the need to move to a long-term care facility by providing the participant a higher level of support.

Home Stay uses remote monitoring to establish a baseline, then detects variations in the participant’s daily routine. Changes in activity are examined, then determined if the change is an early indicator of deterioration in function, or linked to an acute health issue. If the change is ruled a potential health risk, notification is sent to a clinical team for review and contact to the participant to determine if help is needed. Home Stay is a time limited program scheduled to begin in January 2016. The service is free of charge, voluntary, and enrollees can discontinue at any time.

In a recent statewide outreach, IDHW and Blue Cross held meetings at all major cities across Idaho to inform eligible Duals about the MMCP. Enrollment skyrocketed with members, providers, and advocates offering unsolicited praises of the program. Linda of Pocatello states:

I like Blue Cross and the Special Needs Plan because they work with me. They go above my expectations to help me understand my benefits and get the help I really need, and to get the services and the hours I need. I get my Medicare and Medicaid paid for, and I also have vision and dental benefits. Blue Cross really cares what happens to me.

Currently the MMCP is available in 33 of the 44 Idaho counties; however, in 2016 it will be available in ALL counties with the exception of Lemhi and Franklin. Enrollment is voluntary and applications can be taken over the phone by simply calling Blue Cross of Idaho at 1 (888) 495-2583.

Medicare-Medicaid Coordinated Plan (MMCP)

The Medicare-Medicaid Coordinated Plan (MMCP) is for participants who are eligible and enrolled for both Medicare and Medicaid.

Since 2006, the Division of Medicaid has offered the MMCP to provide a coordinated health coverage plan that has the following features:

    • It allows you to receive your Medicare benefits from a private plan rather than from the traditional fee-for-service (FFS) program.
    • It allows Medicaid to pay your Medicare premium for you.
    • It may give you better access to providers.
    • It may cover more of the medical services you need.
    • It’s easy to use. Just show your Medicare Advantage Plan identification card for services.

Signing up for a Medicare Advantage Plan is voluntary.  Medicaid will continue to pay for services such as long-term care, personal care, and developmental disability services.

The MMCP covers all medically-necessary and preventive services covered under Medicare Part A, Part B and prescription drug coverage under Part D as well as additional services covered by Medicaid. The MMCP also covers additional services over and above original Medicare/Medicaid, such as:

    • Care Coordination
    • Dental
    • Vision
    • Call-in 24 Hour Nurseline
    • Fitness Benefit

The MMCP is available in the following counties:

Ada, Adams, Bannock, Benewah, Bingham, Blaine, Boise, Bonner, Bonneville, Boundary, Canyon, Caribou, Cassia, Clark, Elmore, Fremont, Gem, Gooding, Jefferson, Jerome, Kootenai, Latah, Madison, Minidoka, Nez Perce, Oneida, Owyhee, Payette, Power, Shoshone, Twin Falls, Valley, and Washington counties.

If you have questions or would like more information, please call Division of Medicaid, Bureau of Long Term Care at (208) 287-1156 or Blue Cross at (888) 495-2583. 

Participating Health Plans