CMS To Limit Medicare Advantage D-SNP Plan Enrollment As Of January 1, 2027

Starting January 1, 2027, new federal rules will limit the number of Medicare Advantage (MA) dual eligible special needs plans (D-SNPs) that certain insurers can offer in the same service area. Under the new rules, an MA organization, its parent company, and other MA organizations under the same parent company may offer only one D-SNP for full-benefit dual eligible individuals in a service area that overlaps with an affiliated Medicaid MCO.

Beginning in 2027, affected MA organizations must limit new enrollment in these D-SNPs to individuals enrolled in, or in the process of enrolling in, their . . .