Helping states develop integrated programs for individuals who are dually eligible for Medicare and Medicaid
This calendar of key Medicare Advantage (MA) dates was developed to assist states in the development and implementation of integrated care programs for people dually eligible for Medicare and Medicaid. The dates and information in this calendar are drawn from a more extensive calendar developed by the Centers for Medicare & Medicaid Services (CMS). That more extensive calendar, which CMS updates on an ongoing basis, is available at https://hpms.cms.gov/app/ng/home/.
This technical assistance tool is part of a series of tools that provide sample State Medicaid Agency Contract (SMAC) language that states can use in contracts with D-SNPs to meet federal requirements and advance state goals regarding care coordination, eligibility and enrollment, data reporting, marketing and enrollee communications, or other requirements regarding D-SNP activities.
This technical assistance tool is the last in a series of four tools that provide sample State Medicaid Agency Contract (SMAC) language that states can use in contracts with D-SNPs to meet federal requirements and advance state goals regarding care coordination, eligibility and enrollment, data reporting, marketing and enrollee communications, or other requirements regarding D-SNP activities.
This tool provides optional SMAC sample language applicable to certain types of D-SNPs, such as applicable integrated plans (AIPs).
This technical assistance tool is the first in a series of four tools that provide sample State Medicaid Agency Contract (SMAC) language that states can use in contracts with D-SNPs to meet federal requirements
and advance state goals regarding care coordination, eligibility and enrollment, data reporting, marketing and enrollee communications, or other requirements regarding D-SNP activities.
This technical assistance tool is the second in a series of four tools that provide sample State Medicaid Agency
Contract (SMAC) language that states can use in contracts with D-SNPs to meet federal requirements and advance state goals regarding care coordination, eligibility and enrollment, data reporting, marketing and enrollee communications, or other requirements regarding D-SNP activities.
This technical assistance tool is the third in a series of four tools that provide sample State Medicaid Agency Contract (SMAC) language that states can use in contracts with D-SNPs to meet federal requirements and advance state goals regarding care coordination, eligibility and enrollment, data reporting, marketing and enrollee communications, or other requirements regarding D-SNP activities.
This tool provides optional SMAC sample language applicable to all types of D-SNPs.
This document presents plan and state-level enrollment in three types of integrated care plans/programs that operate with exclusively aligned enrollment:
This resource reflects the new and departing Dual Eligible Special Needs Plans for 2023, by State analysis. The analysis has the following tables and figures:
States may execute a Medicare Part A buy-in agreement with the Centers for Medicare & Medicaid Services (CMS) to facilitate access to Medicare Part A and dual eligible status under the Qualified Medicare Beneficiary (QMB) eligibility group. This access is beneficial to individuals and could also reduce administrative burden and costs for providers and states. However, as of November 2021, fourteen states do not have a Part A buy-in agreement.
States may execute a Medicare Part A buy-in agreement with the Centers for Medicare & Medicaid Services (CMS) to facilitate access to Medicare Part A and dual eligible status under the Qualified Medicare Beneficiary (QMB) eligibility group. This access is beneficial to individuals and could also reduce administrative burden and costs for providers and states. However, as of November 2021, fourteen states do not have a Part A buy-in agreement.