About the NCCC:
MSHO Technical and Educational Assistance Program
A Dually Eligible Demonstration: Minnesota Senior Health Options
Minnesota is well known for its innovative efforts to provide an array of chronic care
services to vulnerable populations. It comes as no surprise, then, that the NCCC and
the State of Minnesota have teamed up to improve the ways chronic care services are
delivered to older Minnesotans. This new model of care provision is benefiting
Minnesotans and providing valuable information for other states seeking to develop
The Minnesota Department of Human Services has developed Minnesota Senior Health
Options (MSHO), which combines Medicare and Medicaid financing and acute and long-term
care delivery systems. This demonstration facilitates the integration of primary, acute,
and long-term care services for people ages 65 and older who are eligible for both
Medicare and Medicaid. Minnesota has received federal Medicare 222 and Medicaid 1115
waivers from the Health Care Financing Administration (HCFA) to put this demonstration
into practice. The waivers allow the State of Minnesota to combine the purchase of both
Medicare and Medicaid services into one contract managed by the state. Minnesota is
the first state ever to be granted such a combination of waivers. This demonstration
will be implemented in the seven-country metropolitan area for a five-year period.
The Robert Wood Johnson Foundation (RWJF), which supported the planning stages for this
demonstration, has provided a grant to cover the initial administration and
implementation of the demonstration.
MSHO Contact at State of Minnesota:
Pam Parker, M.P.A.
Director, Minnesota Senior Health Options
State of Minnesota, Department of Human Services
444 Lafayette Road
St. Paul, MN 55155-3854
Fax (651) 297-3230
NCCC's Involvement in MSHO
The NCCC is working under a contractual agreement with the State of Minnesota to
provide technical assistance, best practice tools, and resources to health plans and
provider systems in support of MSHO. Specifically, the NCCC develops and implements
the MSHO Technical and Educational Assistance Program (TEAP), under the oversight of
State of Minnesota staff.
The focus of TEAP activities is on educational activities for clinical
integration, care management, and coordination of services across providers and care
systems. The NCCC works with the Department of Human Services and MSHO plans,
practitioners, and providers to offer resources such as educational forums and
discussion groups, issue briefs on relevant topics, and telephone assistance.
View list of MSHO Products to Download