Funder: Centers for Medicare & Medicaid Services
Author: James Verdier, Alexandra Kruse, Rebecca Sweetland Lester, Ann Mary Philip, and Danielle Chelminsky
November 2016 | Technical Assistance Tool
Dual Eligible Special Needs Plans (D-SNPs) are a type of Medicare Advantage plan that serve beneficiaries dually enrolled in Medicare and Medicaid. This technical assistance tool analyzes D-SNP contracts in 13 states, including states making the most extensive use of D-SNP contracting by linking D-SNPs to Medicaid managed long-term services and supports (MLTSS) programs. This tool summarizes how states developed those linkages, and describes the care coordination and information-sharing requirements included in state D-SNP contracts. The D-SNP contracting approaches used by this diverse group of 13 states can guide states that have varying opportunities and resources for D-SNP contracting.
This technical assistance tool is a product of the Integrated Care Resource Center made possible by the Centers for Medicare & Medicaid Services. The Integrated Care Resource Center is a national initiative to help states improve the quality and cost-effectiveness of care for Medicare-Medicaid enrollees. The state technical assistance activities provided within the Integrated Care Resource Center are coordinated by Mathematica Policy Research and the Center for Health Care Strategies.