Skip to Main Content

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.

Keep reading this article by creating an account or logging in.