Dual Eligible Special Needs Plan “Look-Alike” Transitions for Contract Year 2025

Relevant to: Current Medicare Advantage Organizations with a Contract Year 2024 Dual Eligible Special Needs Plan “Look-Alikes”

This memorandum provides information and procedural directions to current Medicare Advantage (MA) organizations with a contract year (CY) 2024 dual eligible special needs plan (D-SNP) “look-alike” regarding the opportunity to transition enrollees for CY 2025. In addition to providing guidance on the substantive requirements applicable to transitioning enrollees out of D-SNP look-alike, this memorandum includes procedural rules regarding that process.

See the full guidance for more information.