Which statement is true about how the loss of Medicaid affects a member's enrollment in a Dual Eligibility Special Needs plan (D-SNP)?

• A. Special Election Period (SEP Dual/LIS change in status) is available for D-SNP members, and they will be responsible for all cost-sharing.
• B. There is no special election period available for D-SNP members after loss of Medicaid.
• C. D-SNP members automatically shift to a standard Medicare plan with no cost-sharing after loss of Medicaid.
• D. They can only change plans during the Annual Election Period.

Answer: (A)

Loss of Medicaid changes a member’s eligibility status, which is a qualifying event that unlocks a Special Election Period for Dual Eligible (D-SNP) members. This SEP lets them switch plans outside the regular Annual Election Period to choose a plan that fits their new situation. Without Medicaid, the extra financial support goes away, so the member would be responsible for the standard cost-sharing under Medicare and their chosen plan. Therefore, the statement that a SEP Dual/LIS change in status is available for D-SNP members, and they will be responsible for all cost-sharing, is correct. The other options misstate the timing or consequences: there is a SEP, they don’t automatically move to a plan with no cost-sharing, and plan changes aren’t limited to the Annual Election Period.