Aligned Medicare and Medicaid provider networks can improve the care experience of D-SNP enrollees by eliminating the need to navigate separate Medicare and Medicaid provider networks to access care. During this ICRC state-only call, ICRC staff briefly described federal provider network adequacy requirements for D-SNPs. Kelli Emans from the Washington State Department of Social and Health Services and Johnny Shults from the Washington State Health Care Authority discussed Washington State’s experiences and lessons from implementing provider network alignment requirements for their D-SNPs, including how the state has overseen and updated these requirements.
Helping states develop integrated programs for individuals who are dually eligible for Medicare and Medicaid