Proof of Medicaid coverage no longer required in Texas

Proof of Medicaid coverage no longer required in Texas

Great news! Cigna Healthcare is making it easier for you to write D-SNP business in Texas.

As of September 23, 2024, Cigna Healthcare can use the Texas verification system to determine eligibility for members who qualify for partial Medicaid, like the Specified Low-Income Medicare Beneficiary (SLMB) program. This means that they no longer require you to submit proof of Medicaid coverage (such as an award letter) with the enrollment application.  

Here's how you can check if your customer qualifies for Medicaid:

• You can call the Cigna Agent Resource Line (CARL)
• You can also use click-to-chat in Salesforce, and a CARL representative can verify the status of your customer.
• Available soon! Cigna will be adding Texas to their Medicare/Medicaid verification lookup tool on CignaForBrokers! This means that you will be able to verify Medicaid status at the time of sale without having to contact CARL.

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Medicaid lookup tool

The Medicare/Medicaid lookup tool is already available in Alabama, Arkansas, Connecticut, Colorado, Georgia, Florida, Mississippi, Maryland, and Pennsylvania.

There may be times when it is unavailable to verify Medicaid status (i.e., if the customer recently qualified for Medicaid). In these cases, additional information may be requested to confirm eligibility, such as an award letter.

If you are not able to verify Medicaid coverage on CignaForBrokers, please contact CARL.

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