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The Centers for Medicare & Medicaid Services (CMS) has introduced new rules to better integrate Medicaid and Medicare services for dually eligible individuals. These changes, part of the 2025 Medicare Final Rule, aim to improve care coordination, accessibility, and affordability for enrollees.
One significant change is the push for "exclusively aligned enrollment," where beneficiaries obtain both Medicare and Medicaid benefits from either the same plan/organization or two plans under the same parent organization.
This approach is designed to streamline services, reduce costs, and improve outcomes for enrollees. Understanding the impact of this new SEP in a specific market is crucial to leveraging the new rule for your success.
Starting January 1, 2025, there are two new Special Enrollment Periods (SEPs) for dually eligible individuals and those eligible for Extra Help (low-income subsidy)
Quick Links
Apply Online
Contact Information
- Phone: 1-855-235-5115
- TTY: 1-800-235-5112
- Phone: 1-855-332-0729
- TTY: 1-855-235-4976
- Phone: 1-844-626-6813
- TTY: 711
- Phone: 1-844-833-0523
- TTY: 711
- Email:
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Request a CHC Change:
- Log into your My Member Account portal.
- Request the change: Community Health Choice will process the change within 24-72 hours, and the effective date will be the next month.
- Alternative methods: You can also request to change your provider via live chat, text messages, or by calling their toll-free number at 1-888-760-2600.
