The MLTSS Association has created an educational resource containing common challenges with State Medicaid Agency Contracts (SMACs) and considerations for states. SMACs are contracts between states and Medicare Advantage Organizations (MAOs) operating dual eligible special needs plans (D-SNPs). SMACs are required for all D-SNPs, and must contain certain elements, such as the Medicaid benefits covered under the D-SNP, cost-sharing protections covered under the D-SNP, and the dually eligible populations that are eligible to enroll in the D-SNP. States can also choose to include additional requirements in their SMACs to align with the state’s integration goals.
This educational resource outlines four common SMAC Challenges and MLTSS Association Considerations.
Commenti