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.