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State Medicaid Agency (SMAC) Toolkit

This toolkit provides policymakers, State Medicaid Agency staff, and advocates, with principles and corresponding template language to develop State Medicaid Agency Contracts (SMACs) that are responsive to the needs of the dually eligible populations they serve.


An older Asian woman smiles, resting her hands on the shoulders of an older Asian man sitting in a wheelchair outdoors near water.
Consumer Protections: Member Rights for D-SNP State Medicaid Agency Contracts
November 6, 2025
This toolkit provides policymakers, including State Medicaid Agency staff, and advocates, with principles and corresponding template language to develop State Medicaid Agency Contracts (SMACs) that are responsive to the needs of the dually eligible populations they serve. Stakeholders are encouraged to use this tool to advance their priorities by tailoring the components that are most […]
An older Asian woman smiles, resting her hands on the shoulders of an older Asian man sitting in a wheelchair outdoors near water.
Consumer Protections: Member Engagement and Support for D-SNP State Medicaid Agency Contracts
November 6, 2025
This toolkit provides policymakers, including State Medicaid Agency staff, and advocates, with principles and corresponding template language to develop State Medicaid Agency Contracts (SMACs) that are responsive to the needs of the dually eligible populations they serve. Stakeholders are encouraged to use this tool to advance their priorities by tailoring the components that are most […]
An older Asian woman smiles, resting her hands on the shoulders of an older Asian man sitting in a wheelchair outdoors near water.
Care Coordination for D-SNP State Medicaid Agency Contracts
August 19, 2025
Care coordination for people dually eligible is shaped by several overarching federal requirements, including Model of Care requirements, the Home and Community-Based Settings Rule, and the Medicaid Access Rule.
An older Asian woman smiles, resting her hands on the shoulders of an older Asian man sitting in a wheelchair outdoors near water.
Eligibility, Enrollment, and Supplemental Benefits for D-SNP State Medicaid Agency Contracts
May 5, 2025
People dually eligible often experience significant confusion during the D-SNP enrollment process, especially regarding the eligibility criteria for enrolling in a D-SNP, whether they may be subject to default enrollment, and what protections are available if they lose D-SNP eligibility.
An older Asian woman smiles, resting her hands on the shoulders of an older Asian man sitting in a wheelchair outdoors near water.
Marketing and Communications for D-SNP State Medicaid Agency Contracts
May 5, 2025
People are often overwhelmed by the confusing notices they receive about their Medicare and Medicaid coverage. This toolkit helps advocates develop State Medicaid Agency Contract (SMAC) language that requires managed care plans to provide accessible communications for their enrollees.
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