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 tool provides sample language designed to help states comply with the minimum federal requirements for SMAC language regarding the cost sharing protections afforded to D-SNP enrollees. All of the technical assistance tools in this series are available on the ICRC website. Use of sample language contained in this tool does not guarantee that CMS will approve a D-SNP’s bid to operate in a particular state or geographic area.