Capitol Correspondence - 04.22.19

New Resource: Fact Sheet on Dual Eligible Special Needs Plans

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ANCOR is sharing a new resource by Justice in Aging because some of our members support people who are eligible for both Medicare and Medicaid supports (dual-eligible). The fact sheet by Justice in Aging reviews regulations the Centers for Medicare and Medicaid Services (CMS) issued on Dual Eligble Special Needs Plans (D-SNPs). Specifically, these regulations cover:

  • Minimum responsibilities for D-SNPs to coordinate Medicaid benefits
  • Requirements for integrating Medicare and Medicaid appeals
  • The duty to notify state Medicaid programs of hospital admissions
  • Enrollment of partial duals in D-SNPs
  • Enforcement options for CMS

The fact sheet also identifies issues advocates might want to bring up to CMS as implementation of these regulations unfolds.