Medicaid Contracts with Medicare Special Needs Plans Reflect Diverse State Approaches to Dually Eligible Beneficiaries

This paper is the third in a series on SNPs and their relationship to Medicaid. In the second paper of the series, we identified all states which had some kind of contractual relationship with SNPs prior to MIPPA, and classified those relationships into broad categories. The purpose of this third paper is to examine in greater detail a select group of state contracts with SNPs to determine how states use contracts to achieve Medicaid policy goals and advance care integration for dually eligible beneficiaries. As the link between state Medicaid programs and Medicare SNPs evolves further under the requirements of MIPPA, states may benefit from an analysis of existing contracting practices. [21 PDF pages]