Dual Eligible Special Needs Plan (D-SNP) Medicare Deeming

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D-SNP Medicare Deeming Periods

In California, Medicare Advantage Dual Eligible Special Needs Plans (D-SNPs) are required to maintain D-SNP enrollment for members who have lost Medi-Cal eligibility for a minimum deeming period of three months. This policy ensures that members retain their D-SNP coverage during temporary lapses in Medi-Cal eligibility, allowing time to reestablish Medi-Cal eligibility without losing access to essential Medicare services. D-SNPs may provide a deeming period of three to six months.

Additional Resources

Please refer to the January 2025 D-SNP Deeming Periods Factsheet​ for the specific deeming periods offered by D-SNPs in 2025.

Questions and Comments

If you have questions about your D-SNP's deeming period, please contact your plan directly or reach out to the Department of Health Care Services at OMII@dhcs.ca.gov.  For questions about Medi-Cal eligibility, please reach out to your county Medi-Cal eligibility office.​

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