Distribution networks are facing increasing challenges due to the growing share of renewable energy sources (RESs), particularly because of the volatile nature of the available power. In addition to targeted grid expansion measures, the concept of a dynamic grid topology offers an additional layer of flexibility in the power system. Furthermore, there are concepts to use active coupling methods in distribution grids, such as medium-voltage direct current (MVDC) systems, which enable horizontal power flows between distribution grids and thus active control. This paper investigates the potential of combining dynamic passive and active coupling between two distribution grids. Particle swarm optimization (PSO) is used to determine both an optimized operating point of two MVDC interconnections as well as the most efficient switch configuration within both networks. The goal of the optimization is to reduce both network losses and power exchange between the different voltage levels. To evaluate its potential, various use cases are simulated using a representative feed-in of photovoltaics while considering grid constraints. Individual and combined impacts of dynamic AC switching and DC coupling are compared using a modified IEEE-123 test feeder. The results show a significant optimization potential, especially with an increase in RES penetration within the grid. In the best scenarios, the power losses can be decreased by 33.73% and the power transfer can be reduced by 8.75%.