Requirement for selling D-SNP in Virginia

Requirement for selling D-SNP in Virginia

As Virginia moves to exclusively aligned enrollment for Medicaid members, there’s a requirement for agents selling Dual Special Needs Plans (D-SNP) in Virginia.

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What you need to do

Virginia agents are required to watch a video published by the Virginia Department of Medical Assistance Services (DMAS) and sign an attestation prior to completing a Virginia D-SNP enrollment. You must save your signed attestation to provide when requested. The video and attestation are mandatory annually.

The video explains what exclusively aligned enrollment is and what it means for the member. The link to the video, slides and slide notes, as well as the attestation are all conveniently included in the information packet published by DMAS and linked below.

Click here to access the full packet, which includes a link to the video on YouTube.

If you cannot download the attestation from the full packet, access it here.

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What you need to know

Starting Jan. 1, 2025, full-benefit Virginia D-SNP members will be moved to exclusively aligned enrollment. This means the same carrier will provide a member’s D-SNP and Medicaid plan. On and after Jan. 1, if a member’s Medicaid plan is not offered by the same carrier that offers the member’s D-SNP, the member’s Medicaid carrier will automatically be changed to the member’s D-SNP carrier and the member will receive notice.

With exclusively aligned enrollment, members will experience greater ease when using their benefits. They will receive one integrated ID card for their D-SNP and Medicaid plan and avoid the confusion that comes with juggling benefits from two different carriers.

As you meet with clients, ensure they understand how exclusively aligned enrollment may impact them.

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