Medicare Dual Special Needs Plan (D-SNP)
In alignment with the requirements of CalAIM and reflecting CenCal Health’s Strategic Priorities, we will be offering a Medicare Advantage Dual Special Needs Plan beginning in January 2026.
Members with Medicare and Medi-Cal already receive Medi-Cal covered services through CenCal Health and are often referred as “Dually Eligible Beneficiaries,” “Duals,” or “Medi-Medi’s.”
Today, CenCal Health covers nearly 23,000 duals by providing the Medi-Cal portion of their benefits.
- Santa Barbara County: Approximately 15,000
- San Luis Obispo County: Approximately 8,000
D-SNPs are purpose-built to address the intricate healthcare needs of individuals dually eligible for Medicare and Medicaid (Medi-Cal in California). CenCal Health’s D-SNP will be an exclusively aligned enrollment model, meaning only those residents receiving Medi-Cal through CenCal Health and also eligible for Medicare can select our D-SNP.
By offering an exclusively aligned D-SNP, we can elevate our ability to deliver integrated care, tailoring additional benefits to meet the diverse and unique circumstances of our members. D-SNPs consolidate Medicare and Medi-Cal benefits under one comprehensive umbrella, ensuring streamlined access to care and providing members with additional benefits beyond what’s typically available in traditional Medicare Fee-For-Service plans.
What is a Medicare Dual Special Needs Plan (D-SNP)? A Medicare Advantage Dual Special Needs Plan (D-SNP) is a plan that integrates care for people who have both Medicare and Medi-Cal.
When a beneficiary enrolls in a Medicare D-SNP, they are covered for their Medicare and Medi-Cal benefits by one plan. Members receive additional benefits not available in Medicare Fee-For-Service or Medi-Cal.
For any inquiries or to schedule a meeting, please contact (805) 562-1059 or email DSNP@cencalhealth.org
What do you need to know as a current or potential CenCal Health provider?
Here is why you want to join us:
Benefits to Providers:
- The members that will be served through the DSNP line of business are current CenCal Health members, which means that as a provider you are having to work with two plans. By contracting with CenCal Health as a DSNP provider, you will only need to work with us!
- One health plan point of contact for your practice
- For most claims, benefits will all be coordinated in-house by CenCal Health
- Enhanced care coordination and interdisciplinary care teams
- Access to CenCal Health’s local resources
- D-SNP Provider Resource
Benefits to Members:
- Fully integrated services through one health plan
- Enhanced Care Coordination
- Seamless patient experience with one point of contact for all of their healthcare needs
Provider Engagement & Resources
Join us! CenCal Health looks forward to engaging providers in the development of our D-SNP. Learning more and becoming contracted is easy.
For any inquiries or to schedule a meeting, please contact (805) 562-1059 or email DSNP@cencalhealth.org
Provider Engagement
Medicare Dual Special Needs Plan: An Introduction (Meeting Recording & Presentation Slides)
CenCal Health held an Informational Session on the development of a Medicare Dual Special Needs Plan (D-SNP) to be offered in 2026. In addition, The Department of Health Care Services (DHCS) collaborated as a guest speaker and highlighted Medicare Medi-Cal Plans (Medi-Medi Plans) in San Luis Obispo and Santa Barbara Counties and a 2026 Look-Ahead for Providers.
Exciting Opportunity for Providers: Discover the Benefits of CenCal Health’s New Medicare Dual Special Needs Plan (D-SNP) Webinars
We invite you to participate in our upcoming informational sessions, where we’ll dive into the details of our D-SNP and its impact on both members and providers. These sessions will provide comprehensive insights into what a D-SNP is, the advantages it offers, and what to anticipate in the months ahead.
What to Expect During the Training Sessions:
- D-SNP Overview: Learn about the benefits for both members and providers.
- Contracting Information: Find out how to establish a partnership with CenCal Health’s D-SNP.
- LIVE Q&A: Engage directly with our Provider Relations Team to get your questions answered.
We’re hosting multiple one (1) hour sessions starting at 2:00pm throughout the year on the following dates. Please select the session that aligns with your schedule.
Session Schedule:
- Wednesday, October 16, 2024
- Wednesday, November 6, 2024
Register now online to secure your virtual seat!
D-SNP Partner Connect: Office Hours with CenCal Health
RSVP for the D-SNP Office Hours Meetings
We are excited to invite you to an exclusive Office Hours session hosted by CenCal Health’s Provider Relations Team! This is a valuable opportunity for you to establish a direct partnership with CenCal Health’s Dual Special Needs Plan (D-SNP).
During this session, you will have the chance to connect with our Provider Relations Team in a dynamic, interactive setting and get your questions answered by receiving immediate responses to any queries you may have.
Meeting Schedule:
- Thursday, October 17, 2024 – 2:00pm
This meeting is designed to facilitate open dialogue and provide you with the support you need to enhance your partnership with CenCal Health. Register now online to secure your virtual seat!
We look forward to your participation and to working together to make the D-SNP a success!