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101 – Integrated Appeals and Grievances: A Roadmap for D-SNPs

Learning Objectives:

  • Per CMS requirements, by 2021, D-SNPs must be prepared to deliver to its beneficiaries a fully integrated (Medicaid and Medicare) appeals and grievance model. 
  • State agencies have already proposed various models of integration to CMS that D-SNPs are or will be required to implement, operationalize and monitor to ensure that mandated benchmarks meet the revised regulatory standards. 
  • As most integrated models are similar in scope and delivery, this presentation will offer common suggestions on how D-SNPs can update their operational models, member notifications and materials, corporate policies as well as other assurances of compliance.


  • Sarah Swank, Counsel, Nixon Peabody¬†
  • Justin Frazer, Director, Regulatory Compliance, Mazars USA LLP¬†


10:15 am - 11:15 am


Feb 02 2021

Local Time

  • Timezone: America/New_York
  • Date: Feb 02 2021
  • Time: 10:15 am - 11:15 am