State oversight and monitoring of Dual Eligible Special Needs Plans (D-SNPs) can help to ensure that these plans operate in a way that promotes integration and coordination of care for dually eligible individuals.
- How States Can Monitor Dual Eligible Special Needs Plan (D-SNP) Performance: A Guide to Using CMS Data Resources
This resource shows how states can use CMS data to create tables, graphs, and figures and interpret their meaning in order to assess D-SNP performance. (ICRC, January 2018)
- D-SNP Performance Monitoring and Oversight: State Experiences and CMS Resources
This webinar covers resources and strategies available to states to begin or improve their oversight of Dual Eligible Special Needs Plans (D-SNPs). Presenters provide an overview of 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. (ICRC, April 2019)
- How States Can Use Medicare Advantage Star Ratings to Assess D-SNP Quality and Performance
This technical assistance tool explains the five-star quality rating system that CMS uses to evaluate the performance of Medicare Advantage health plans and how states can use star ratings data for integrated care program oversight. (ICRC, October 2019)