New requirement for selling D-SNP in Virginia
As Virginia moves to exclusively aligned enrollment for Medicaid members, there’s a new requirement for agents selling Dual Special Needs Plans (D-SNP) in Virginia for the 2025 plan year. Virginia is requiring that all Sales Personnel must complete a state issued training on changes to D-SNP plans in state. The training and associated attestation must be completed by 10/14.
Please reach out to your designated account manager(s) once all agents have completed the training to avoid losing Marketplace access to D-SNP plans in the state of Virginia.
What you need to do
New for the 2025 plan year, Virginia agents are required to watch a video published by the Virginia Department of Medical Assistance Services (DMAS) and sign an attestation prior to completing a 2025 Virginia D-SNP enrollment. You are required to ensure your agents have a signed attestation available upon request. The video and attestation will be mandatory annually going forward.
The video explains what exclusively aligned enrollment is and what it means for the member. The link to the video, slides and slide notes, as well as the attestation are all conveniently included in the information packet published by DMAS and linked below.
Click here to access the full packet, which includes a link to the video on YouTube.
If you cannot download the attestation from the full packet, access it here.
What you need to know
Starting Jan. 1, 2025, full-benefit Virginia D-SNP members will be moved to exclusively aligned enrollment. This means the same carrier will provide a member’s D-SNP and Medicaid plan. On and after Jan. 1, if a member’s Medicaid plan is not offered by the same carrier that offers the member’s D-SNP, the member’s Medicaid carrier will automatically be changed to the member’s D-SNP carrier and the member will receive notice.
With exclusively aligned enrollment, members will experience greater ease when using their benefits. They will receive one integrated ID card for their D-SNP and Medicaid plan and avoid the confusion that comes with juggling benefits from two different carriers.
As agents meet with clients, it’s important to ensure clients understand how exclusively aligned enrollment may impact them.
Please reach out to your account managers with any questions, concerns or confirmation of full agent force completion of the training video and attestation.
