Aligned enrollment

Aligned enrollment refers to the enrollment in a dual eligible special needs plan of full-benefit dual eligible individuals whose Medicaid benefits are covered under a Medicaid managed care organization contract under section 1903 of the Act between the applicable State and: the dual eligible special needs plan's (DSNP's) MA organization, the DSNP's parent organization, or another entity that is owned and controlled by the DSNP's parent organization. When State policy limits a DSNP's membership to individuals with aligned enrollment, this condition is referred to as exclusively aligned enrollment.


42 CFR § 422.2

Scoping language

As used in this part

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