Dual Eligible Special Needs Plans (D-SNPs)

Information Sharing to Improve Care Coordination for High-Risk Dual Eligible Special Needs Plan Enrollees: Key Questions for State Implementation

This technical assistance tool offers key questions and considerations that states can review as they begin working with Dual Eligible Special Needs Plans (D-SNPs) and other parties to design and implement information-sharing requirements.

Promoting Information Sharing by Dual Eligible Special Needs Plans to Improve Care Transitions: State Options and Considerations

This brief examines the approaches used by three states – Oregon, Pennsylvania, and Tennessee – to develop and implement information-sharing processes for their Dual Eligible Special Needs Plans (D-SNPs) that support care transitions. The brief includes examples of contract language and strategies to encourage plan collaboration and problem solving around information sharing. It can help states, D-SNPs, and other stakeholders assess how to meet the new D-SNP contracting requirements and improve the care of dually eligible individuals.

Tips to Improve Medicare-Medicaid Integration Using D-SNPs: Integrating Medicaid Managed Long-Term Services and Supports into D-SNP Models of Care

This new ICRC tip sheet, part of the "Tips to Improve Medicare-Medicaid Integration Using D-SNPs" series, outlines the benefits of integrated MOCs, lists the steps in developing and implementing an integrated MOC, and provides examples of state-specific elements that Massachusetts and Minnesota require D-SNPs to include in their MOCs.

Webinar Resources | Updates on State Contracting with D-SNPs: The Basics and Meeting New Federal Requirements for 2021

On Tuesday July 9, 2019, ICRC hosted the Working with Medicare webinar “Update on State Contracting with D-SNPs: The Basics and Meeting New Federal Requirements for 2021.” This webinar provides an overview of state strategies for contracting with D=SNPs to improve care coordination and Medicare-Medicaid alignment for dually eligible enrollees.

Update on State Contracting with D-SNPs: The Basics and Meeting New Federal Requirements for 2021

Working with Medicare
07/09/2019

This webinar provides an overview of state strategies for contracting with D-SNPs to improve care coordination and Medicare-Medicaid alignment for dually eligible enrollees. Special attention is given to new federal D-SNP integration standards for 2021 contract year, and how states can help plans to meet these requirements.

Learning Objectives: By the end of this presentation, attendees should be able to:

Tips to Improve Medicare-Medicaid Integration Using D-SNPs: Integrating Medicaid Managed Long-Term Services and Supports into D-SNP Models of Care

Dual Eligible Special Needs Plans (D-SNPs) must develop a model of care (MOC) that describes their enrollees’ characteristics and health and service needs as well as the plan’s care coordination and health risk assessment processes. Despite the importance of Medicaid services to dually eligible enrollees, D-SNPs are only required to describe Medicare services in their MOCs. However, states may require D-SNPs to develop an integrated MOC that describes not just how Medicare services will be provided, but also how the plan will provide and/or coordinate Medicaid benefits.

Webinar Resources | D-SNP Performance Monitoring and Oversight

On April 18, 2019, ICRC hosted a Study Hall Call on “D-SNP Performance Monitoring and Oversight: State Experiences and CMS Resources” that highlighted ways for states to begin or improve their oversight of Dual Eligible Special Needs Plans (D-SNPs). In this webinar, presenters give an overview of the Centers for Medicare & Medicaid Services’ (CMS) publicly available D-SNP performance monitoring resources and share approaches used by Oregon and Tennessee to incorporate performance monitoring and oversight requirements into D-SNP contracts.

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