New Dual Eligible Special Needs Plan requirements make Medicare and Medicaid communication important

With calendar year 2021 Medicare Advantage (MA) deadlines rapidly approaching, state Medicaid agencies and MA plans offering Dual Eligible Special Needs Plans (D-SNPs) must quickly determine how to fulfill new integration requirements mandated by the Bipartisan Budget Act of 2018.

D-SNPs have become increasingly popular among both MA organizations and dual eligible beneficiaries because of their ability to tailor benefit designs to the needs of this population. Approximately one-quarter of the nation’s 11 million dual eligible beneficiaries are enrolled in one of the 550+ D-SNPs offered throughout the United States as of January 2020.

In this paper, Milliman’s Nick Johnson, Chris Kunkel, and Annie Hallum summarize the new integration requirements and also discuss considerations for stakeholders.

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