
Get the free Dual Eligible Special Needs Plan Contract - NJ.gov
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AGREEMENT
BETWEEN
HEALTH AND HUMAN SERVICES COMMISSION
AND
MEDICARE ADVANTAGE DUAL ELIGIBLE SPECIAL NEEDS PLAN
HHSC Contract No. HHS000820200023
Article I. Background ................................................................................................................................................2
Article
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How to fill out dual eligible special needs

How to fill out dual eligible special needs
01
Determine if you meet the criteria for dual eligible special needs, which typically includes being enrolled in both Medicare and Medicaid.
02
Contact your local Medicaid office or Medicare/Medicaid dual eligible program for assistance in filling out the necessary forms.
03
Provide all required documentation, such as proof of income and citizenship, when filling out the application.
04
Review the completed application for accuracy before submitting it for processing.
05
Follow up with the appropriate agencies to confirm receipt of your application and check the status of your eligibility.
Who needs dual eligible special needs?
01
Individuals who qualify for both Medicare and Medicaid benefits may need to consider enrolling in a dual eligible special needs plan.
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What is dual eligible special needs?
Dual eligible special needs refer to individuals who qualify for both Medicare and Medicaid benefits, allowing them to receive comprehensive healthcare coverage tailored to their specific needs.
Who is required to file dual eligible special needs?
Individuals who meet the criteria for being dually eligible for Medicare and Medicaid are required to file for dual eligible special needs plans.
How to fill out dual eligible special needs?
To fill out dual eligible special needs applications, individuals need to provide personal information, income details, and any relevant medical history, often through online platforms or paper applications.
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 healthcare services and support tailored to their needs, improving their overall health outcomes.
What information must be reported on dual eligible special needs?
Information that must be reported includes personal identification details, income and asset levels, healthcare needs, and any current Medicaid or Medicare coverage information.
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