US · guidance
CMS Pub. 100-16, ch. mc86c16b, § 20.2.3
Relationship to State Medicaid Agencies (42 CFR 422.107(b))
Pursuant to section 164(c)(4) of MIPPA, state Medicaid agencies are not required to enter into
contracts with MAOs with respect to D-SNPs. In addition to the SMAC, the MAO must still meet
all CMS application requirements, including that the organization be organized and licensed under
state law as a risk-bearing entity eligible to offer health insurance or health benefits coverage in the
state, to have an MA contract and to offer a D-SNP.
History
(Rev. 129, Issued: 08-11-23, Effective: 08- 11- 23; Implementation: 08- 11- 23)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
8b3892f75e36cae7def848988a6c6ddc49aa2514ac3f419af2966a4c3ae20721
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