Question

When does the Special Election Period for Dual/LIS Change in Status begin for DSNP members that lose Medicaid eligibility?

a) The month after they are notified by the plan of the loss of Medicaid eligibility

b) Upon notification or effective date of the loss, whichever is earlier

c) After the grace period ends

d) Six months after they have been disenrolled from the DSNP

Answer 1

The Special Election Period for Dual/LIS Change in Status starts upon notification or effective date of the loss of Medicaid eligibility, whichever comes first, for D-SNP members.

Step-by-step explanation:

The Special Election Period for Dual/LIS Change in Status begins b) Upon notification or effective date of the loss, whichever is earlier for D-SNP members that lose Medicaid eligibility. This period allows individuals who had dual eligibility for both Medicare and Medicaid (and may now just be eligible for the Low-Income Subsidy (LIS)), to make changes to their Medicare Advantage plans outside of the typical enrollment periods.