CIB: Medicare-Medicaid Integration and Unified Appeals and Grievance Requirements for State Medicaid Agency Contracts with Medicare Advantage Dual Eligible Special Needs Plans (D-SNPs) for Contract Year 2021

Today, the Centers for Medicare & Medicaid Services (CMS) released an Informational Bulletin to provide states with important information to consider when updating their Contract Year 2021 contracts with Medicare Advantage Dual Eligible Special Needs Plans (D-SNPs).

On April 16, 2019, CMS issued a final rule implementing new statutory provisions from the Bipartisan Budget Act of 2018 that strengthened D-SNP Medicare-Medicaid integration requirements and unified Medicare and Medicaid grievance and appeals procedures for some D-SNPs beginning in 2021. As highlighted in this Informational Bulletin, states play an essential role in D-SNP implementation of these new requirements.

CMS will continue to provide technical assistance to states and D-SNPs to help with implementation of these new requirements.

• CIB: Medicare-Medicaid Integration and Unified Appeals and Grievance Requirements for State Medicaid Agency Contracts with Medicare Advantage Dual Eligible Special Needs Plans (D-SNPs) for Contract Year 2021