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Advising the Congress on Medicare issues
MedPAC > Recommendations > Medicare Advantage special needs plans (4)

Medicare Advantage special needs plans (4)

March 15, 2013

For dual-eligible special needs plans (D–SNPs) that assume clinical and financial responsibility for Medicare and Medicaid benefits, the Congress should:

  • grant the Secretary authority to align the Medicare and Medicaid appeals and grievances processes;
  • direct the Secretary to allow these D–SNPs to market the Medicare and Medicaid benefits they cover as a combined benefit package;
  • direct the Secretary to allow these D–SNPs to use a single enrollment card that covers beneficiaries’ Medicare and Medicaid benefits; and
  • direct the Secretary to develop a model D–SNP contract.

Topics: Beneficiaries and coverage and Part C (Medicare Advantage).