Aligning Enrollment

States using Dual Eligible Special Needs Plans (D-SNPs) as a platform for Medicare-Medicaid integration often try to promote aligned enrollment (i.e., enrollment of dually eligible individuals into a D-SNP and an affiliated Medicaid managed care plan offered by the same parent company in the same geographic area) to advance their integration efforts.

Learn More

• Using Default Enrollment to Align Coverage for Dually Eligible Medicare-Medicaid Beneficiaries

  This fact sheet summarizes default enrollment requirements and state roles in the default enrollment approval and implementation process. (ICRC, July 2019)

• Default Enrollment FAQ

  This document details a number of commonly asked questions regarding default enrollment. (MMCO, February 2019)

• Aligning Coverage for Dually Eligible Beneficiaries Using Default and Passive Enrollment

  This webinar provides a history of default enrollment and its requirements as well states’ roles in this process, including the need to identify beneficiaries newly eligible for Medicare. (ICRC, July 2018)

• Default Enrollment Model Notice

  This resource is a model letter that D-SNPs have the option to use to meet CMS beneficiary notice requirements for default enrollment. All letters used will need to contain the required CMS disclaimers, materials ID and receive appropriate CMS approval prior to use. (MMCO, October 2018)