When does the Special Election Period for Dual/LIS Change in Status begin for D-SNP members that lose Medicaid eligibility?

The Special Election Period (SEP) for Dual-Eligible Special Needs Plan (D-SNP) members who lose Medicaid eligibility is designed to provide these individuals with a timely opportunity to adjust their healthcare coverage. This SEP begins upon the notification or effective date of the loss of Medicaid eligibility, whichever occurs earlier.

This is crucial because it allows members to respond quickly to changes in their financial or health status that would impact their coverage options. By starting the period at the point of notification or at the effective date, members have the chance to secure alternative Medicare plans without unnecessary delays, ensuring their uninterrupted access to necessary healthcare services.

In contrast, other provided options do not align with the federal guidelines governing Special Election Periods. For instance, waiting until the end of the current month may leave members without adequate coverage during a potentially vulnerable time. Similarly, a 30-day waiting period could result in gaps in healthcare access, which is particularly concerning for those who depend on continuity of care. Starting the SEP at the beginning of the next year would not accommodate the urgent needs of individuals who've lost their Medicaid eligibility, especially if their coverage is needed immediately. Therefore, the correct answer emphasizes the need for timely access to alternative coverage.