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December, 2007
 Obtaining Medicare Advantage Bid Pricing Data From
Special Needs Plans: Suggested RFP Language for State Medicaid Agencies
"Several Integrated Care Program (ICP) states
are interested in obtaining information from Special Needs Plans (SNPs)
on Medicare services they provide that may overlap with Medicaid
services, and on the assumptions SNPs are making with respect to the cost
sharing payments they expect to receive from or on behalf of dual
eligible beneficiaries. With this information, states will be in a better
position to identify and avoid potential cost shifting from Medicare to
Medicaid, and make capitated Medicaid payments to SNPs for beneficiary
cost sharing and acute and long-term-care Medicaid services."
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OPEN MINDS