CMS Finalizes Improvements in Medicare Managed Care for Dual Eligibles

On April 29, 2022, the Centers for Medicare and Medicaid Services (CMS) finalized rules that improved the operation and oversight of Dual Eligible Special Needs plans (D-SNPs) and also addressed a number of issues in Medicare Advantage and Medicare Part D. The CMS fact sheet is available here.

The changes affecting D-SNPs are of particular interest to advocates for low-income older adults. D-SNPs, Medicare managed care plans that only enroll dual eligible members, are designed to coordinate Medicare and Medicaid benefits for enrollees. D-SNPs are growing fast—currently one in four dual eligibles receives Medicare benefits through a D-SNP.

Read more about the rules that become effective January 1, 2023, in our fact sheet.