As Virginia moves to exclusively aligned enrollment for Medicaid members, there’s a new requirement for agents selling Dual Special Needs Plans (D-SNP) in Virginia for the 2025 plan year.
New for the 2025 plan year, 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 2025 Virginia D-SNP enrollment. You must save your signed attestation to provide when requested. The video and attestation will be mandatory annually going forward.
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.
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.
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.
Don't have a MedCareValue page yet?
Get Your FREE Site >UnitedHealthcare and Cleveland Clinic have reached agreement on a new multi-year contract for the health system’s hospitals, facilities and its physicians throughout Florida.
The 2025 star ratings have been announced, and UPMC for Life’s HMO and PPO plans have received an above-average rating of 4.5 out of 5 stars from Medicare for 2025.
Don't miss this opportunity to earn some extra money while also helping your customers transition to their new Cigna Healthcare MA plan.
Benefits information, a simple C-SNP verification process and more
Scores were strong again this year, with many plans achieving the highest score possible!
Recent changes include updates to the Part D prescription drug coverage stages and adjustments to UPMC for Life’s cost sharing.
Choosing an FMO to work with is not just about having access to top insurance products and commissions, it’s about finding a one-on-one agent service that is prepared to meet your needs.
Get to know us, and see how we can help you take your business to the next level.