New Letter to CMS on AIP Enrollment Lag Issue and Recommendations

The MLTSS Association has written a letter to CMS 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 letter, we outline the implications of this issue for health plans and members, and provide recommendations that CMS can take to address this issue.

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