- How can states effectively implement Dual Eligible Special Needs Plans (D-SNPs) contracts?
- How can D-SNPs establish linkages with Medicaid managed long-term services and supports (MLTSS) programs?
D-SNPs are a type of Medicare Advantage plan that serve beneficiaries enrolled in both Medicare and Medicaid. This resource is a technical assistance tool based on an analysis of D-SNP contracts in 13 states, some of which link D-SNPs to Medicaid MLTSS programs.
- To operate in a state, D-SNPs must have a contract with the state to facilitate coordination of Medicare and Medicaid services for enrollees.
- States with the most extensive contracts with D-SNPs have well-established MLTSS programs, experienced D-SNPs that are interested in contracting with the state, and Medicaid agency leadership and staff who are knowledgeable about Medicaid and Medicare managed care.
- As states consider what to include in their D-SNP contracts, they should consider the resources needed to design and implement integration requirements, review and analyze the information D-SNPs are required to submit to the state, and work with D-SNPs over time to refine and improve their integration programs.