Sample Language for State Medicaid Agency Contracts with Dual Eligible Special Needs Plans

Author: 
Integrated Care Resource Center
Published: 
November 2019

As of 2021, the contracts that Dual Eligible Special Needs Plans (D-SNPs) have with state Medicaid agencies must include not just the elements specified by the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008, but also new language detailing the requirements issued by CMS in April 2019 to increase the level of Medicare and Medicaid coordination and integration provided by these plans. This technical assistance tool provides sample contract language that states can use in their D-SNP contract to comply with these requirements. Use of this language in the contract does not guarantee that CMS will approve the D-SNP to operate.

 

 

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