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US · guidance

CMS Pub. 100-16, ch. mc86c16b, § 20.2.9.1

Flexibility in EAC Operations

activein force · 2026-08-25 – presentas-observed

We encourage MA organizations to work with D-SNP enrollees and their representatives to establish

the most effective and efficient processes for enrollee engagement. The requirements at 42 CFR

422.107(f) are nonprescriptive on meeting frequency, location, format, enrollee recruitment and

training methods, use and adoption of telecommunications technology, or other parameters for

operation of the EACs.

This flexibility extends to the geographic scope of the EAC(s) within each state. For example, the

EAC could include enrollees from a D-SNP offered in a single county, or it could consist of enrollees

from D-SNPs offered in multiple counties. For instance, a MA organization that offers separate D-SNPs in Broward, Hillsborough, and Orange counties in Florida could establish one EAC that

convenes enrollees representative of each of these distinct regions via virtual communication

methods. Alternatively, the MA organization could establish separate EACs in each county or use a

combination of these approaches. Similarly, an MA organization that offers separate D-SNPs serving

full-benefit dually eligible individuals and partial-benefit dually eligible individuals in the same state

could solicit enrollee input through one or more EACs where separate committees might represent

specific eligibility groups.

5 Resources for Integrated Care and Community Catalyst, ‘‘Listening to the Voices of Dually Eligible Beneficiaries:

Successful Member Advisory Councils’’, 2019. Retrieved from:

https://www.resourcesforintegratedcare.com/Member_Engagement/Video/Listening_to_Voices_of_Dually_Eligible_Bene

ficiaries

History

(Rev. 131; Issued: 11-22-24; Effective: 11-22-24; Implementation: 11-22-24)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
9d9024d875bab1d56d41d03496e9400d54e959fbc1b806da35c6762e97c5ab3a
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