Increasing Integration for Medicare-Medicaid Dual-Eligible Populations Using the D-SNP Model: Examples from Nevada and Washington State

CHCS November 29, 2023
Molly Knowles, Center for Health Care Strategies

For the nearly 13 million people in the U.S. who are eligible for both Medicare and Medicaid, navigating complex, uncoordinated care and services can be frustrating and confusing. Innovator states across the U.S. are stepping up to meet this pressing challenge. Increasingly, states are turning to models that are based on dual-eligible special needs plans (D-SNPs) as a strategy for integrating Medicare and Medicaid services.

D-SNPs are in almost every state and therefore states operating a range of Medicaid delivery systems can use their contracting authority with D-SNPs to advance Medicare integration with their Medicaid programs. For example, some states like Nevada do not enroll dually eligible individuals in Medicaid managed care, yet are in the early stages of implementing...

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