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Amending sections 20.2.2 and 20.2.3 to update information on the state Medicaid agency contracts and addition of new Section 90, 90.1, 90.2, 90.2.1 and 90.3 on SNP Health Risk Assessment Screening Requirement.

Amending sections 20.2.2 and 20.2.3 to update information on the state Medicaid agency contracts- The revised section provides updated guidance to D-SNPs on how to meet the required elements for the annual submission of the state Medicaid agency contracts (SMAC). The revised section includes new information on unified appeals and grievances and minimum integration requirements for D-SNPs.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: August 11, 2023

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.