Hi, CMS uses certain criteria to determine if a DSNP plan is integrated and if so to what level. Fully, highly or coordinated only. This is based on high well the plan coordinates with Medicaid. If the plan is not one of the three levels it is not eligible for the new "integration SEP" that has replaced the quarterly SEP for those on Medicaid or with drug help
Thank you for explaining this. All the other medicare 2025 videos are only talking about the part D changes.
your welcome. Glad it helped
What is integrated dsnp mean?
Hi, CMS uses certain criteria to determine if a DSNP plan is integrated and if so to what level. Fully, highly or coordinated only. This is based on high well the plan coordinates with Medicaid. If the plan is not one of the three levels it is not eligible for the new "integration SEP" that has replaced the quarterly SEP for those on Medicaid or with drug help