Medicare AdvantageAdministrativeHigh impact
22-710 Prepare For Your Dual Eligible Patient Transition to a D-SNP and Exclusive Aligned Enrollment Plan
Health Net·CA·Provider News
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Effective January 1, 2023, dual eligible members in Cal MediConnect and D-SNP "look alike" plans will be transitioned to new D-SNP or Medicare Advantage plans. Members will receive notification materials and new ID cards between September and November 2022.
Action Required
By January 1, 2023: Billing team must update patient eligibility verification processes to identify members transitioning from Cal MediConnect and D-SNP look-alike plans to new D-SNP or MA plans. Update patient registration systems to collect new ID cards and plan information. Monitor for eligibility file changes and new plan name crosswalks that will be provided in October. Verify coverage and benefits for transitioned members as new plan rules may differ.