This tip sheet is designed to help states that are planning procurements related to their integrated care programs for dually eligible individuals. It aims to help these states: (1) understand the relationship between state efforts to procure Medicaid managed care plans for these programs and the state’s D-SNP contracting strategy; (2) consider
options for incorporating Medicare resources into integrated care program procurements; and (3) identify and use Medicare resources to inform state selection of Medicaid managed care plans that will cover Medicaid benefits for D-SNP enrollees. The tip sheet describes five steps that states can take when developing Medicaid managed care procurements for integrated care programs.
Helping states develop integrated programs for individuals who are dually eligible for Medicare and Medicaid