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Imperial Dual Plan (HMO DSP) offered by Imperial Health Plan of California, Inc. (HMO) (HMO SNP)Annual Notice of Changes for 2022 You are currently enrolled as a member of Imperial Traditional Plus
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How to fill out dual eligible special needs
How to fill out dual eligible special needs
01
Gather necessary information such as Social Security number, Medicare number, and Medicaid number.
02
Contact the Social Security Administration to determine eligibility for dual status.
03
Submit a completed application for dual eligible special needs through the Medicaid office.
04
Provide any additional documentation requested by the Medicaid office to process the application.
05
Wait for approval and confirmation of dual eligible special needs status.
Who needs dual eligible special needs?
01
Individuals who are eligible for both Medicare and Medicaid benefits may need dual eligible special needs.
02
These individuals often have complex medical needs and may require additional support and services to manage their health conditions.
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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 benefits.
Who is required to file dual eligible special needs?
Healthcare providers and facilities that provide services to dual eligible beneficiaries are required to file dual eligible special needs.
How to fill out dual eligible special needs?
Dual eligible special needs can be filled out by using the designated forms provided by the Centers for Medicare & Medicaid Services (CMS).
What is the purpose of dual eligible special needs?
The purpose of dual eligible special needs is to ensure coordination of care for individuals who are eligible for both Medicare and Medicaid benefits.
What information must be reported on dual eligible special needs?
Information such as the services provided, dates of service, and billing details must be reported on dual eligible special needs forms.
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