CHCS August 22, 2024
States are increasingly seeking to better integrate Medicare and Medicaid for dually eligible individuals by aligning Medicaid managed care organizations with dual eligible special needs plans (D-SNPs). While Medicaid agencies are responsible for ensuring the quality and performance of managed care programs, they also play a role in D-SNP oversight. To develop D-SNP monitoring and oversight strategies, Medicaid agencies must understand Medicare policies for D-SNPs, the Medicare data available to support oversight, and how to use and interpret these data. So, how can Medicaid agencies build Medicare knowledge to get the results they want from D-SNP-based Medicare-Medicaid integrated care programs?
To answer this question, the Center for Health Care Strategies (CHCS) spoke with Medicaid officials from the District of Columbia,...
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