New Resource for States on AIP Enrollment Lag Issue
Dec 17, 2025
1 min read
The MLTSS Association has created a resource highlighting an operational issue in state Medicaid policy affecting some Dual Eligible Special Needs Plans (D-SNPs) that are Applicable Integrated Plans (AIPs), where timing gaps in enrollment can delay alignment with an individual's Medicaid plan. These gaps may cause temporary coverage misalignment, member confusion, and risk plans’ compliance with CMS AIP requirements.
In this resource, we outline the implications of this issue for health plans and members, and provide recommendations that states can take to address this issue.


This is a crucial topic for state agencies. When coordinating with federal partners on complex enrollment issues, clear communication is paramount. Drafting a detailed follow-up email to clarify data points or request additional guidance can be time-consuming, so I've been using the Instantly email writer to help me organize my thoughts and ensure nothing is missed.