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Change In Enrollment Policy for Certain Dual Eligible Medicare-Medicaid Enrollees Download PDF The purpose of this bulletin is to inform providers that beginning January 1, 2025, full benefit dual eligible Medicaid enrollees that have elected to enroll in a type of Medicare Advantage (MA) Plan called a Dual Eligible Special Needs Plan (DSNP) will be assigned to the same health plan for their Medicaid managed care as they selected for their DSNP