D-SNP alignment can affect patient retention, network participation, and day-to-day administrative workflows. Getting ahead of it can help your practice manage upcoming transitions while keeping care coordinated for your patients.

When Medicare and Medicaid coverage are aligned under one health plan, there are real benefits for both members and providers. For providers, this can mean simpler billing and claims management since you will be working with just one health plan for both benefit types. It can also mean a more efficient prior authorization process, fewer eligibility and coordination-of-benefits issues, better overall care coordination, and fewer delays in patients getting the services they need.

How to Prepare

To minimize disruptions, providers should take the following steps now. Start by identifying which of your patients are D-SNP members. Confirm that you participate in both the Medicare and Medicaid plans for those members. Re-check eligibility ahead of upcoming visits and make sure your front-office staff are prepared to answer member questions about coverage changes.

Before alignment requirements take effect, also review your participation status using My Practice Profile in the UnitedHealthcare Provider Portal.

For questions, connect through chat 24/7 in the UnitedHealthcare Provider Portal.