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Date
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2022-07-07
54.85.165.166
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2025-01-05
52.7.169.240
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HTTP/1.1 200 OKDate: Sun, 05 Jan 2025 23:03:28 GMTContent-Type: text/html; charsetUTF-8Transfer-Encoding: chunkedConnection: keep-aliveServer: ApacheX-Powered-By: PHP/8.1.29Cache-Control: must-revalidate, no-cache, privateX-Drupal-Dynamic-Cache: HITContent-language: enX-Content-Type-Options: nosniffX-Frame-Options: SAMEORIGINExpires: Sun, 19 Nov 1978 05:00:00 GMTX-Generator: Drupal 10 (https://www.drupal.org)Content-Security-Policy: frame-ancestors none; report-uri /report-csp-violationX-XSS-Protection: 1; modeblockStrict-Transport-Security: max-age31536000X-Drupal-Cache: HITUpgrade: h2,h2c !DOCTYPE html>html langen dirltr> head> meta charsetutf-8 />script async srchttps://www.googletagmanager.com/gtag/js?idG-R4YR77D74M>/script>script>window.dataLayer window.dataLayer || ;function gtag(){dataLayer.push(arguments)};gtag(js, new Date());gtag(set, developer_id.dMDhkMT, true);gtag(config, G-R4YR77D74M, 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idsearch-block-form accept-charsetUTF-8> div classjs-form-item form-item js-form-type-search form-type-search js-form-item-keys form-item-keys form-no-label> label foredit-keys classvisually-hidden>Search/label> input titleEnter the terms you wish to search for. placeholderSearch this website... data-drupal-selectoredit-keys typesearch idedit-keys namekeys value size15 maxlength128 classform-search /> /div>div data-drupal-selectoredit-actions classform-actions js-form-wrapper form-wrapper idedit-actions--2>input data-drupal-selectoredit-submit typesubmit idedit-submit valueSearch classbutton js-form-submit form-submit />/div>/form> /div> /div> /div> !-- EOF:#header-top-right --> /div> /div> !-- EOF: #header-top-inside --> div> /div>/div> div classrow> div idsite-slogan classcol-md-12> !-- #header-top-left --> div classregion region-header-top-left> div idblock-siteslogan classblock block-block-content block-block-contentcabca036-fbf9-4d17-8645-13af3c7d2a0e> div classcontent> div classclearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item>p>Helping states develop integrated programs for individuals who are dually eligible for Medicare and Medicaid/p>/div> /div> /div> /div> !-- EOF:#header-top-left --> /div> /div>!-- EOF: #header-top --> /div> /div> !-- EOF: #header-inside --> /div>/header>!-- EOF: #header --> !-- #main-navigation --> div idmain-navigation classclearfix> div classcontainer> !-- #main-navigation-inside --> div idmain-navigation-inside classclearfix> div classrow> div classcol-md-12> nav rolenavigation classclearfix> div classregion region-navigation> nav rolenavigation aria-labelledbyblock-icrc-main-menu-menu idblock-icrc-main-menu classblock block-menu navigation menu--main> h2 classvisually-hidden idblock-icrc-main-menu-menu>Main navigation/h2> div classcontent> div classmenu-toggle-target menu-toggle-target-show idshow-block-icrc-main-menu>/div> div classmenu-toggle-target idhide-block-icrc-main-menu>/div> a classmenu-toggle href#show-block-icrc-main-menu>Show — Main navigation/a> a classmenu-toggle menu-toggle--hide href#hide-block-icrc-main-menu>Hide — Main navigation/a> ul classmenu> li classmenu-item> a href/ data-drupal-link-system-path<front> classis-active aria-currentpage>Home/a> /li> li classmenu-item> a href/about-us data-drupal-link-system-pathnode/7945>About ICRC/a> /li> li classmenu-item> a href/resource-library data-drupal-link-system-pathresource-library>Search for Resources/a> /li> li classmenu-item menu-item--expanded> a href>Resources by Topic/a> ul classmenu> li classmenu-item> a href/resources-by-topic/getting-started-medicare-medicaid-integration data-drupal-link-system-pathnode/8678>Getting Started with Medicare-Medicaid Integration/a> /li> li classmenu-item> a href/resources-by-topic/state-medicaid-action-steps-promote-integration data-drupal-link-system-pathnode/8674>State Medicaid Action Steps to Promote Integration/a> /li> li classmenu-item> a href/resources-by-topic/medicare-basics data-drupal-link-system-pathnode/8673>Medicare Basics/a> /li> li classmenu-item> a href/resources-by-topic/data-program-design data-drupal-link-system-pathnode/8677>Data for Program Design/a> /li> li classmenu-item> a href/resources-by-topic/dual-eligible-special-needs-plans data-drupal-link-system-pathnode/8671>Dual Eligible Special Needs Plans/a> /li> /ul> /li> li classmenu-item> a href/state-integration-activities data-drupal-link-system-pathnode/7946>State Integration Activities/a> /li> /ul> /div>/nav> /div> /nav> /div> /div> /div> !-- EOF: #main-navigation-inside --> /div>/div>!-- EOF: #main-navigation -->!-- #banner -->div idbanner classclearfix> div classcontainer> !-- #banner-inside --> div idbanner-inside classclearfix> div classrow> div classcol-md-12> div classregion region-banner> div data-drupal-messages-fallback classhidden>/div>div idblock-icrc-page-title classblock block-core block-page-title-block> div classcontent> h1 classpage-header>span classfield field--name-title field--type-string field--label-hidden>Home/span>/h1> /div> /div> /div> /div> /div> /div> !-- EOF: #banner-inside --> /div>/div>!-- EOF:#banner -->!-- #page -->div idpage classclearfix> !-- #main-content --> div idmain-content> div classcontainer> div classrow> section classcol-md-12> !-- #main --> div idmain classclearfix> !-- #breadcrumb --> div idbreadcrumb classclearfix> !-- #breadcrumb-inside --> div idbreadcrumb-inside classclearfix> /div> !-- EOF: #breadcrumb-inside --> /div> !-- EOF: #breadcrumb --> !-- EOF:#content-wrapper --> div idcontent-wrapper> div classregion region-content> div classviews-element-container block block-views block-views-blockresources-block-1 idblock-views-block-resources-block-1> div classcontent> div>div classview view-resources view-id-resources view-display-id-block_1 js-view-dom-id-75c35fec8fa4759895f753130eac9b22c614b19de249f99d3fb267d69411cd05> div classview-content> div> div idflexslider-1 classflexslider optionset-default> ul classslides> li> div classslider-left-text>div>h2>a href/resource/integrating-dual-eligible-special-needs-plan-materials-promote-enrollee-understanding-and hreflangen>Integrating Dual Eligible Special Needs Plan Materials to Promote Enrollee Understanding of and Access to Benefits/a>/h2>p>p>strong>Integrating Dual Eligible Special Needs Plan Materials to Promote Enrollee Understanding of and Access to Benefits/strong>/p>p>Dual Eligible Special Needs Plans (D-SNPs) that operate with exclusively aligned enrollment and cover Medicaid benefits through the D-SNP or an affiliated Medicaid managed care plan – classified as applicable integrated plans (AIPs) – can provide their enrollees with a single set of fully integrated materials that describe both the Medicare and Medicaid benefits covered by the D-SNP (and its affiliated Medicaid plan, when applicable). /p>p>This tip sheet was created to help states work with their AIP D-SNPs to develop integrated materials for D-SNP enrollees. The tip sheet: (1) explains why states should work with AIP D-SNPs to integrate D-SNP materials; (2) describes the specific materials that can be integrated and the benefits of integrating them; (3) summarizes key steps in developing integrated D-SNP materials; and (4) highlights key considerations for states interested in requiring D-SNPs to use integrated materials.br> /p>/p>p classlatest-events-menu>a href/resource/integrating-dual-eligible-special-needs-plan-materials-promote-enrollee-understanding-and hreflangen>MORE/a>/p>/div>/div>div classviews-field views-field-field-image-for-homepage rotator-image>div classfield-content flex-image> a href/resource/integrating-dual-eligible-special-needs-plan-materials-promote-enrollee-understanding-and hreflangen>img loadinglazy src/sites/default/files/shutterstock_1014726445.jpg width1000 height494 altsenior reading />/a>/div>/div> /li>li> div classslider-left-text>div>h2>a href/resource/definitions-different-medicare-advantage-dual-eligible-special-needs-plan-d-snp-types-2023 hreflangen>Definitions of Different Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) Types in 2023 and 2025/a>/h2>p>p>strong>This resource was updated in June 2023 to correct an error in the definition of applicable integrated plan in the previous version./strong>/p>p>Dual Eligible Special Needs Plans (D-SNPs) must hold contracts with state Medicaid agencies, and states can use contractual requirements to better integrate and coordinate care for individuals who are dually eligible for Medicare and Medicaid. Federal rules issued in 2019 defined three different types of D-SNPs: strong>“fully” integrated D-SNPs (FIDE SNPs)/strong>; strong>“highly” integrated D-SNPs (HIDE SNPs)/strong>; and strong>Coordination-only (CO) D-SNPs/strong>, and also defined strong>“applicable integrated plans” (AIPs)/strong>. New rules issued in May 2022 updated those definitions./p>p>This tip sheet summarizes the updated definitions of FIDE SNPs, HIDE SNPs, CO D-SNPs, and AIPs for 2023 and compares the requirements for each D-SNP type. This information can be helpful to states as they develop and implement programs that advance Medicare-Medicaid integration for their dually eligible populations./p>/p>p classlatest-events-menu>a href/resource/definitions-different-medicare-advantage-dual-eligible-special-needs-plan-d-snp-types-2023 hreflangen>MORE/a>/p>/div>/div>div classviews-field views-field-field-image-for-homepage rotator-image>div classfield-content flex-image> a href/resource/definitions-different-medicare-advantage-dual-eligible-special-needs-plan-d-snp-types-2023 hreflangen>img loadinglazy src/sites/default/files/iStock-1344939844.jpg width1333 height786 altHand holding drawing virtual lightbulb />/a>/div>/div> /li>li> div classslider-left-text>div>h2>a href/resource/sample-language-state-medicaid-agency-contracts-dual-eligible-special-needs-plans hreflangen>Sample Language for State Medicaid Agency Contracts with Dual Eligible Special Needs Plans/a>/h2>p>p>To operate in a state, a Dual Eligible Special Needs Plan(D-SNP) must hold a contract with the state Medicaid agency. Those state Medicaid agency contracts (SMACs) must all have at least certain minimum elements, and states can also add additional requirements that aim to further coordination or integration of Medicare and Medicaid benefits for D-SNP enrollees. ICRC has developed four tools for states that provide sample contract language for the minimum required SMAC elements, as well as optional elements that states can add to SMACs with D-SNPs to further state goals related to care coordination, D-SNP enrollment, reporting and information sharing, and D-SNP materials. /p>/p>p classlatest-events-menu>a href/resource/sample-language-state-medicaid-agency-contracts-dual-eligible-special-needs-plans hreflangen>MORE/a>/p>/div>/div>div classviews-field views-field-field-image-for-homepage rotator-image>div classfield-content flex-image> a href/resource/sample-language-state-medicaid-agency-contracts-dual-eligible-special-needs-plans hreflangen>img loadinglazy src/sites/default/files/iStock-1150732840_compressed2.jpg width500 height333 altMedical professional talking to patient />/a>/div>/div> /li>/ul>/div>/div> /div> /div>/div> /div> /div>div idblock-homepagetiles classblock block-block-content block-block-contentc823991e-a5d8-4b6d-be5b-5b79d12db913> div classcontent> div classclearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item>div classrow>div classdecision-tool-section col-md-3>div classhome-four-section-header>a href/resources-by-topic/dual-eligible-special-needs-plans>Learn about D-SNP Contracting/a>/div>div classhome-four-section-image>a href/resources-by-topic/dual-eligible-special-needs-plans>img altBusinesswoman signing contract data-entity-type data-entity-uuid src/sites/default/files/2023-01/iStock-1175470766.jpg>/a>/div>/div>div classintegrated-care-section col-md-3>div classhome-four-section-header>a href/one-on-one-technical-assistance/state-data-profile titleState Data Profile>Request a State Data Profile/a>/div>div classhome-four-section-image>a href/one-on-one-technical-assistance/state-data-profile titleRequest a State Data Profile>img altCalculator on top of papers with graphs data-entity-type 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idblock-homepageresourcescalendar classrow view-hompage-latest-resources block block-blockgroup block-block-grouphomepage-resources-calendar> div classcontent> div classviews-element-container col-md-7 block-override block block-views block-views-blockhompage-latest-resources-block-1 idblock-views-block-hompage-latest-resources-block-1> div classcontent> div>div classview view-hompage-latest-resources view-id-hompage_latest_resources view-display-id-block_1 js-view-dom-id-8941ad3bcf48a4eedb91f7f6408ff5b5f6848f10c5967026bbd5059661832a64> div classview-header> div classhomepage-latest-resources>h3>Latest Resources/h3>/div> /div> div classview-content> div classserp-list views-row>span classviews-field views-field-field-resource-type>span classfield-content resource-type>Technical Assistance Tool/span>/span> | span classviews-field views-field-field-date>span classfield-content resource-date>December 2024/span>/span>div classviews-field views-field-title>span classfield-content>a href/resource/monthly-integrated-care-exclusively-aligned-enrollment-report-dually-eligible-individuals hreflangen>Monthly Integrated Care Exclusively Aligned Enrollment Report: Dually Eligible Individuals Enrolled in Medicare-Medicaid Plans (MMPs), Programs of All-Inclusive Care for the Elderly (PACE), and Applicable Integrated Plans (AIPs)/a>/span>/div>/div> div classserp-list views-row>span classviews-field views-field-field-resource-type>span classfield-content resource-type>Other Resource/span>/span> | span classviews-field views-field-field-date>span classfield-content resource-date>October 2024/span>/span>div classviews-field views-field-title>span classfield-content>a href/resource/qmb-billing-hpms-memo hreflangen>QMB Billing HPMS memo/a>/span>/div>/div> div classserp-list views-row>span classviews-field views-field-field-resource-type>span classfield-content resource-type>Tip Sheet/span>/span> | span classviews-field views-field-field-date>span classfield-content resource-date>October 2024/span>/span>div classviews-field views-field-title>span classfield-content>a href/resource/how-states-can-use-medicare-advantage-star-ratings-assess-d-snp-quality-and-performance hreflangen>How States Can Use Medicare Advantage Star Ratings to Assess D-SNP Quality and Performance/a>/span>/div>/div> div classserp-list views-row>span classviews-field views-field-field-resource-type>span classfield-content resource-type>Other Resource/span>/span> | span classviews-field views-field-field-date>span classfield-content resource-date>June 2024/span>/span>div classviews-field views-field-title>span classfield-content>a href/resource/lessons-learned-dual-eligible-special-needs-plans-enrollee-advisory-committee-strategic hreflangen>Lessons Learned from Dual Eligible Special Needs Plans Enrollee Advisory Committee Strategic Conversation/a>/span>/div>/div> div classserp-list views-row>span classviews-field views-field-field-resource-type>span classfield-content 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classfooter-area> div classregion region-footer-second> nav rolenavigation aria-labelledbyblock-secondaryfootermenu-menu idblock-secondaryfootermenu classblock block-menu navigation menu--menu-secondary-footer-menu> h2 classvisually-hidden idblock-secondaryfootermenu-menu>Secondary Footer Menu/h2> div classcontent> div classmenu-toggle-target menu-toggle-target-show idshow-block-secondaryfootermenu>/div> div classmenu-toggle-target idhide-block-secondaryfootermenu>/div> a classmenu-toggle href#show-block-secondaryfootermenu>Show — Secondary Footer Menu/a> a classmenu-toggle menu-toggle--hide href#hide-block-secondaryfootermenu>Hide — Secondary Footer Menu/a> ul classmenu> li classmenu-item> a href/about-us/e-alerts data-drupal-link-system-pathabout-us/e-alerts>E-Alerts/a> /li> li classmenu-item> a href/about-us/contact title data-drupal-link-system-pathnode/7950>Contact Us/a> /li> li classmenu-item> a href/sites/default/files/PrivacyPolicy.pdf>Privacy Policy/a> /li> /ul> /div>/nav> /div> /div> /div> div classcol-md-3> /div> div classcol-md-3> /div> /div> /div> !-- EOF: #footer-inside --> /div>/footer> !-- EOF #footer -->footer idsubfooter classclearfix> div classcontainer> !-- #subfooter-inside --> div idsubfooter-inside classclearfix> div classrow> div classcol-md-12> !-- #subfooter-left --> div classsubfooter-area> /div> !-- EOF: #subfooter-left --> /div> /div> /div> !-- EOF: #subfooter-inside --> /div>/footer>!-- EOF:#subfooter --> /div> script typeapplication/json 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