Improving Quality and Performance in Dual Eligible Special Need Plans: Monitoring and Oversight Tips for States
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Associated Project
Supporting States in Improving Care for Dually Eligible Individuals through the Integrated Care Resource Center
Prepared for:
U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Medicare - Medicaid Coordination Office
This webinar describes the Medicare resources available to states to monitor Dual Eligible Special Needs Plan (D-SNP) performance and provide tips for states on incorporating D-SNPs into Medicaid quality improvement activities. The webinar helps states to:
- Identify and leverage Medicare resources for overseeing coordination only D-SNPs as well as D-SNPs that cover Medicaid benefits such as long-term services and supports, behavioral health, and dental
- Incorporate D-SNPs into Medicaid quality strategies
- Incorporate D-SNPs into Medicaid quality assessment and performance improvement programs
- Use Medicare data and tools to streamline external quality review for D-SNPs
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