Altarum Medicare-Medicaid Services for States (AMMS)

Helping States Build Better Programs for Dually Eligible Individuals

Strategy and Program Design • Administration and Operations • Communications

Altarum Medicare-Medicaid Services for States (AMMS) is a nonprofit organization that helps states create financially sustainable solutions to advance health, health equity, wellness, and independent living for dually eligible individuals.  We enhance state capacity by providing exceptional national expertise around dual eligible and long-term services and supports (LTSS) policy and program administration. Our state-specific, data-driven approaches improve health equity and outcomes while efficiently managing Medicaid dollars.

Opportunities to Improve Individuals’ Experiences and Maximize Public Funding

AMMS partners with states to tailor solutions to the unique characteristics, needs, and preferences of their dually eligible populations. We understand that these populations are diverse in race, ethnicity, age, gender, disability, cognitive ability, physical and behavioral health status, and social circumstances which may require varied program approaches. Most access care and supports that are fragmented across the Medicare and Medicaid programs. There is a significant opportunity to enhance and better align these programs to improve individuals’ experiences, outcomes, and quality of life. States also have an opportunity to address the cost-shifting that occurs between the two programs and develop efforts to maximize Medicare service coverage. 

A Partner to Expand State Capacity

Not many people have deep Medicare-Medicaid integration expertise, and there are few who have both policy and program administration experience. As a result, states are challenged to identify and hire the best people to advance Medicare-Medicaid integration. AMMS helps states gain and expand in-house capacity.

State Services

AMMS offers approaches tailored to each state.  We meet states where they are along the continuum of knowledge, capacity, and expertise. We assess current situations and offer phased-in approaches to integration to achieve person-centered care—from gaining Medicare proficiency, to increasing coordination across the two programs, to implementing fully integrated programs. This includes hands-on training and assistance that leads to sustainable in-house dual eligible population and integration expertise.


Sarah Barth
Executive Director, Medicare-Medicaid Services for States