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Contracting Standards and Prohibitions for Dual Eligible Special Needs Plan Look-Alikes

This Bulletin is brought to you by AHLA’s Payers, Plans, and Managed Care Practice Group.
  • July 02, 2020
  • Chris Buley , McDermott Will & Emery LLP

This Bulletin summarizes those provisions in the Final Rule that generally restrict CMS from entering into new contracts or renewing existing contracts of D-SNP look-alike plans while allowing those plans to seamlessly transition members to other plans within their corporate organization, subject to certain conditions.
 

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