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Optimizing State Medicaid Agency Contracts: Policy Options

This session presented policy options based on findings presented in January 2024 regarding how states use their state Medicaid agency contracts with Medicare Advantage dual eligible special needs plans to integrate care for dually eligible beneficiaries, how these contracts are overseen, and the barriers that states face to leveraging these contracts. Staff described two policy options for the Commission’s consideration that would recommend that states collect data on care coordination and Medicare Advantage encounters and that the Centers for Medicare & Medicaid Services issue guidance supporting states in developing an integration strategy.