Our Issues

The MLTSS Association has created a resource highlighting an operational issue in state Medicaid policy affecting some Dual Eligible Special Needs Plans (D-SNPs) that are Applicable Integrated Plans (AIPs), where timing gaps in enrollment can delay alignment with an individual's Medicaid plan. These gaps may cause temporary coverage misalignment, member confusion, and risk plans’ compliance with CMS AIP requirements. In this resource, we outline the implications of this issue

Today approximately 10 percent of individuals who are dually eligible for both Medicare and Medicaid are enrolled in managed care plans that fully integrate their Medicare and Medicaid coverage. The remaining dually eligible individuals must navigate a complex system of overlapping coverage and disconnected services. Despite significant regulatory and legislative activity around advancing integrated care models at both the state and federal level, many barriers remain. The N

The MLTSS Association has written a letter to CMS highlighting an operational issue in state Medicaid policy affecting some Dual Eligible Special Needs Plans (D-SNPs) that are Applicable Integrated Plans (AIPs), where timing gaps in enrollment can delay alignment with an individual's Medicaid plan. These gaps may cause temporary coverage misalignment, member confusion, and risk plans’ compliance with CMS AIP requirements. In this letter, we outline the implications of this is

The MLTSS Association has released a new resource comparing different integrated care options for dually eligible individuals across nine key domains. This educational resource highlights the key features, benefits, and challenges of each model. Ultimately, the MLTSS Association believes that D-SNPs are the only truly integrated and scalable model available for dually eligible individuals. We believe that the expertise, experience, and expansive reach of the D-SNP model can

State Medicaid Agency Contracts (SMACs) are contracts between states and Medicare Advantage Organizations (MAOs) operating Dual Eligible...

On May 12th, the MLTSS Association submitted comments on a  Request for Information  (RFI) from the Office of Management and Budget (OMB)...