What does CMS's new monthly integrated care SEP for CY2025 allow?

The correct answer is that CMS's new monthly integrated care Special Enrollment Period (SEP) for calendar year 2025 allows for the election of an integrated Dual Eligible Special Needs Plan (D-SNP). This SEP is significant because it caters specifically to individuals who are eligible for both Medicare and Medicaid, thus providing them with tailored options that can address their unique healthcare needs effectively.

D-SNPs are designed to deliver coordinated care that integrates services across Medicare and Medicaid, allowing for streamlined access to necessary healthcare resources. This integration can lead to improved health outcomes, as beneficiaries can receive Medicare and Medicaid benefits in a more cohesive manner. The monthly nature of this SEP means that eligible individuals can make changes to their D-SNP enrollment on a monthly basis, enhancing their flexibility in managing their healthcare needs.

In contrast, the other options do not accurately reflect the specifics of the SEP. While options related to Medicaid or other types of Medicare plans might suggest broader access, they do not pertain directly to the integrated care focus of this particular enrollment period. The emphasis on D-SNPs highlights CMS's commitment to improving care coordination for those eligible for both Medicare and Medicaid.