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2018 Medicare Advantage Dual Eligible Special Needs Plan (DSP) & Model of Care (MOC) Overview Medicare Advantage (MA) Program Part C Medicare Advantage Medicare Part A and B benefits are administered

How to fill out dual eligible special needs

How to fill out dual eligible special needs

1. Gather all necessary documentation, including proof of income, proof of residency, and proof of age.
2. Contact your local Medicaid office to request an application for dual eligible special needs.
3. Fill out the application form accurately and completely, including all required information.
4. Attach all necessary documentation to the application form.
5. Review the completed application form and attached documentation for any errors or omissions.
6. Submit the application form and attached documentation to your local Medicaid office either in person or by mail.
7. Wait for a response from the Medicaid office regarding the status of your application.
8. If approved, follow any additional instructions provided by the Medicaid office, such as enrolling in a managed care plan.
9. If denied, review the reasons for denial and consider appealing the decision if applicable.

Who needs dual eligible special needs?

1. Individuals who are eligible for both Medicare and Medicaid
2. Individuals with disabilities who require additional support and services beyond what is covered by Medicare
3. Individuals with limited income and resources
4. Individuals who need assistance with long-term care services
5. Individuals who need help paying for Medicare premiums, deductibles, and copayments

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What is dual eligible special needs?

Dual eligible special needs refers to individuals who are eligible for both Medicare and Medicaid, and have certain chronic or disabling conditions.

Who is required to file dual eligible special needs?

Healthcare providers or organizations that provide care to dual eligible special needs individuals may be required to file certain documentation.

How to fill out dual eligible special needs?

To fill out dual eligible special needs forms, providers typically need to gather and submit information regarding the individual's healthcare needs, conditions, and eligible Medicare/Medicaid coverage.

What is the purpose of dual eligible special needs?

The purpose of dual eligible special needs is to ensure that individuals who qualify for both Medicare and Medicaid receive coordinated and comprehensive care that meets their specific healthcare needs.

What information must be reported on dual eligible special needs?

Information such as the individual's medical history, current health conditions, medications, treatments, and coverage options provided by Medicare and Medicaid must be reported on dual eligible special needs forms.