Rov qab mus rau Kev Pabcuam Kev Sib Txuas rau Cov Neeg Tau Txais Kev Pabcuam Dual​​ 

Dual Special Needs Plans (D-SNP) Contract and Policy Guide​​ 

Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage (MA) plans that provide specialized care and wrap-around services for dual eligible beneficiaries (eligible for both Medicare and Medicaid). D-SNPs must have a State Medicaid Agency Contract (SMAC) with DHCS and DHCS can choose whether to contract with D-SNPs.​​ 

Medi-Medi Plans​​ 

As part of CalAIM, DHCS promotes enrollment in health plans for dual eligible members, through an integrated Exclusively Aligned Enrollment (EAE) D-SNP model. Having Medicare and Medi-Cal benefits managed by the same organization promotes better care coordination and care experience for members. 
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In California, the general name of these integrated plans are Medi-Medi Plans, and in 2024 and 2025 they are available in 12 counties. These plans will be available in many additional counties in 2026.  Medi-Medi plans provide care coordination and integrated member materials, and have membership limited to dually eligible individuals who are also enrolled in the Medi-Cal managed care plan affiliated with the D-SNP.
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DHCS Policy on D-SNPs without an affiliated Medi-Cal Plan​​  

DHCS muaj ob txoj cai tseem ceeb hais txog D-SNPs yam tsis muaj kev koom tes nrog Medi-Cal txoj kev npaj saib xyuas.​​ 

1. Pib xyoo ntawv cog lus 2024, thiab txuas ntxiv mus, DHCS yuav tsis kos npe rau SMAC nrog rau daim ntawv thov tshiab D-SNP hauv ib lub nroog tshwj tsis yog D-SNP muaj cov phiaj xwm Medi-Cal koom nrog. Txoj cai no txwv tsis pub D-SNPs tshiab zoo ib yam li cov cai hauv lwm lub xeev.​​ 
2. For contract year 2025, and ongoing, in all counties, DHCS is limiting new enrollment in D-SNPs to only those D-SNPs that are affiliated with a Medi-Cal plan. This means that D-SNPs without an affiliated Medi-Cal plan will no longer be able to enroll new members, but existing members may remain with their plan.​​ 

Ob txoj cai no yog ua raws li lub xeev txoj cai, thiab npaj rau kev nthuav dav ntawm Medi-Medi Plans hauv 2026.​​  

D-SNP Feasibility Study​​ 

Pursuant to Welfare and Institutions Code, Section 14184.208(c)(5), DHCS conducted a feasibility study report of D-SNPs for Medi-Cal managed care plans (MCPs) in select non-Coordinated Care Initiative (non-CCI) counties. The feasibility study will help inform the transition under CalAIM to a statewide D-SNP structure for dual eligible beneficiaries and help DHCS establish processes and refine criteria for evaluating potential MCP requests for exemption from the D-SNP requirement. The D-SNP Feasibility Study was completed on July 1, 2022.
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Cov peev txheej​​ 

• Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv - Daim Ntawv Qhia Txog D-SNPs hauv California​​ 
• Department of Health Care Services – 2024 D-SNP Deeming Periods​​ 
• Cov Chaw Pabcuam Medicare thiab Medicaid - Ob Qhov Kev Pabcuam Tshwj Xeeb Muaj Peev Xwm Muaj Peev Xwm (D-SNPs) Cov Ntaub Ntawv Keeb Kwm​​ 
• Cov Chaw Pabcuam Medicare thiab Medicaid - Cov Kev Pabcuam Tshwj Xeeb (SNP) Cov Ntaub Ntawv​​ 
• Department of Health Care Services – Coordinated Care Initiative Overview​​ 
• Cov Chaw Pabcuam Medicare thiab Medicaid – California Cal MediConnect Cov Ntaub Ntawv Qhia Txog Kev Ua Haujlwm​​ 
• Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv - Kev Tshaj Tawm Txog Qhov Zoo thiab Cov Ntaub Ntawv ntawm Cal MediConnect
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