Sample Language for State Medicaid Agency Contracts with Dual Eligible Special Needs Plans
Supporting States in Improving Care for Dually Eligible Individuals through the Integrated Care Resource Center
U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Medicare - Medicaid Coordination Office
This Integrated Care Resource Center technical assistance tool provides sample contract language that states can leverage in executing federally required state Medicaid agency contracts (SMACs) with Medicare Advantage Dual Eligible Special Needs Plans (D-SNPs). The tool provides sample language for federal minimum requirements for all D-SNPs, as well as sample language for requirements that only apply to fully or highly integrated D-SNPs (FIDE SNPs and HIDE SNPs, respectively).