Key Changes for DSNP Plans in 2025 The Centers for Medicare & Medicaid Services (CMS) has announced some big changes in their final rule that will affect DSNP plans and the special election period (SEP) for 2025.
Key Changes Overview
The CMS final rule introduces considerable adjustments affecting full dual eligible beneficiaries, partial dual eligible beneficiaries, and LIS-only members. These changes will be effective from January 1, 2025, and apply during the annual period when you are writing new businesses.
Quarterly Update Elimination
The quarterly election period for full duals, partial duals, and LIS-only members will be removed, transitioning to a more structured framework moving forward.