2023年3月6日 · Dual Special Needs Plans (D-SNPs) are Medicare Advantage (MA) plans that provide specialized care to beneficiaries dually eligible for Medicare and Medi-Cal, and offer care coordination and wrap-around services. All D-SNPs in California must have executed contracts with the Department of Health Care Services (DHCS), the state Medicaid agency.

2021年2月22日 · All D-SNPs must have executed contracts with state Medicaid agencies, referred to as the "State Medicaid Agency Contract" (SMAC) or MIPPA contract, that meet a number of requirements, including Medicare-Medicaid integration requirements and, for some D-SNPs, unified appeals and grievance processes.

Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage (MA) plans that provide specialized care and wrap-around services for dual eligible beneficiaries (eligible for both Medicare and Medicaid). D-SNPs must have a State Medicaid Agency Contract (SMAC) with DHCS and DHCS can choose whether to contract with D-SNPs. Medi-Medi Plans

In conjunction with the release of the Contract Year (CY) 2025 Medicare Advantage (MA), Prescription Drug Plan (PDP), Employer/Union-Only Group Waiver Plan (EGWP), and Special Needs Plan (SNP) applications, CMS has also released the …

Fully Integrated Dual Eligible Special Needs Plan (FIDE SNP). D-SNPs are Medicare Advantage (MA) plans that provide specialized care to beneficiaries dually eligible for Medicare and Medi-Cal and offer care coordination and

All D-SNPs must have executed contracts with applicable state Medicaid agencies, referred to as the “State Medicaid Agency Contract” (SMAC), as provided under section 1859(f)(3)(D) of the Social Security Act and 42 CFR 422.107.

2024年1月4日 · • Medicare Advantage D -SNPs are a type of special needs plan designed to provide targeted care to dually eligible beneficiaries • D-SNPs are different from other Medicare Advantage or special

This ICRC tool provides sample contract language that states can use to address the minimum required SMAC element described at 42 CFR 422.107(c)(4) - the cost-sharing protections covered under the D-SNP. The tool provides several different SMAC language examples to fit a variety of state circumstances.

2024年2月28日 · Dual Eligible Special Needs Plans (D-SNPs) are a type of Medicare Advantage plan designed to serve individuals who are dually enrolled in Medicare and Medicaid (“dual eligibles” or “dually eligible individuals”). Enrollment in D-SNPs has doubled in the past four years, with current D-SNP membership at over five million individuals. 1

State Medicaid Agency Contract (SMAC) language that states can use in contracts with D-SNPs to meet federal requirements and advance state goals regarding care coordination, eligibility and enrollment, data reporting, marketing and enrollee communications, or other requirements regarding D-SNP activities. This tool provides sample language