State Medicaid Agency Contract (SMAC) Template Toolkit: Consumer Protection Language Advocates Need to Know December 02, 2025

Today, over five million people are enrolled in Dual Eligible Special Needs Plans (D-SNPs), a type of Medicare Advantage Plan designed to serve individuals who are dually enrolled in Medicare and Medicaid. Each D-SNP must enter into a contract with the state in which the D-SNP operates called the State Medicaid Agency Contract (SMAC). The SMAC can be an important tool in ensuring D-SNPs are responsive to the needs of enrollees.

 This webinar, SMAC Template Toolkit: Consumer Protection Language Advocates Need to Know, will discuss Justice in Aging’s SMAC Toolkit, a resource aimed at equipping advocates with recommendations and template language that they can utilize to ensure their SMACs include consumer protections and reflect the needs of enrollees.

Presenters will provide a high-level overview of D-SNPs and SMACs, how advocates can engage with their states on SMACs, and highlight examples from the toolkit of consumer-specific recommendations and template language to include in the SMAC.

 Who Should Participate: State-based advocates working with older adults and people with disabilities enrolled in Medicare and Medicaid.