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Series

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.


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Provider Network Protections for D-SNP State Medicaid Agency Contracts
March 31, 2026
Provider network protections in D-SNP State Medicaid Agency Contracts are essential to ensure continuity of care, maintain access to trusted providers, and prevent disruptions for dually eligible individuals navigating Medicare and Medicaid coverage.
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 outlines consumer protections and member rights in D-SNP State Medicaid Agency Contracts, emphasizing continuity of care, accessible appeals processes, and strong safeguards to ensure dually eligible individuals maintain coverage and access to essential services.
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 highlights best practices for member engagement and support in D-SNP State Medicaid Agency Contracts, emphasizing enrollee advisory committees, ombuds programs, and meaningful consumer input to improve access, equity, and quality of care for dually eligible individuals.
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.
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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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