What qualification must a beneficiary meet to enroll in a DSNP?

To enroll in a Dual Special Needs Plan (DSNP), a beneficiary must be eligible for both Medicare and a state Medicaid program, which is typically an income-based program. DSNPs are specifically designed to serve individuals who qualify for both of these types of coverage, allowing them to receive coordinated care through a single plan. This coordination helps streamline services and benefits, making it easier for beneficiaries to manage their healthcare needs.

Eligibility for Medicare signifies that the individual is 65 years or older or meets certain criteria for disability or specific health conditions. Being part of an income-based program ensures that the individual has low-income status, which is necessary for the dual eligibility aspect of DSNPs. Thus, the correct qualification reflects the program's intent to serve those who rely on both Medicare and Medicaid for comprehensive care.