AHIP Medicare Exam Prep 16, D-SNPs and Medicaid Benefit Coordination

This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams.

In this episode you will learn:

- How Medicare operates as the primary payer while Medicaid acts as the secondary payer of last resort in D-SNP benefit coordination.

- The distinction between Full Benefit Dual Eligibles (FBDE) and Partial Duals (QMB, SLMB, QI) to avoid assuming full Medicaid benefits.

- How integrated plan designs like FIDE SNPs and HIDE SNPs streamline Medicare and Medicaid coverage and administration.

- The mechanics of the Dual/LIS Special Enrollment Period, including quarterly usage rules and state-level contract variations.

- Why verifying a beneficiary's specific Medicaid eligibility tier is crucial for avoiding common AHIP exam traps.

For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep