Beginning January 1, 2030, Dual Eligible Special Needs Plans (D-SNPs) sharing a parent organization with Medicaid plans in the same service area must fully align enrollment. Currently enrolled D-SNP members may be disenrolled if they are not also enrolled in the Medicaid plan offered by the same parent organization before then. States can consider practical strategies to help minimize disruption for affected D-SNP members.
Building on a previous ATI resource, this brief outlines one strategy for unaligned D-SNP members: a one-time Medicaid plan reassignment to align Medicaid plan enrollment with current D-SNP enrollment.
For states subject to the impending 2030 D-SNP enrollment alignment requirements, this approach may offer a near-term option to reduce the risk that these beneficiaries lose access to their current D-SNP coverage. The brief provides a practical framework for assessing whether and how states could deploy this strategy.
Read the full brief for key considerations and questions states can use to assess and operationalize a one-time Medicaid reassignment strategy.