The Broker Bulletin

Your Enrollment Season Starts Here

Enrollment season is right around the corner. This month’s Broker Bulletin is packed with updates and resources to help you prepare for a successful season, including Broker Kickoff details, certification reminders, and opportunities to grow your Medicare business with Community Health Choice.

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Your August Broker Checklist

Stay informed and get ready for the season ahead. In this month’s Broker Bulletin:

Get Ready for Broker Kickoff — Mark your calendar for our upcoming Medicare and ACA Broker Kickoff events and get ready for Plan Year 2027.
Complete Your Community Health Choice Certification — Get certified early so you’re prepared when enrollment begins.
Help Dual-Eligible Clients Get More — Learn how Community Health Choice HIDE can help eligible members coordinate their Medicare and Medicaid coverage.
Grow Your Medicare Business with D-SNP — Discover how D-SNP can create new opportunities to support dual-eligible clients and strengthen your Medicare business.

Integrated Coverage. Stronger Outcomes.

Highly Integrated Dual Eligible Special Needs Plans (HIDE SNPs) bring Medicare and Medicaid benefits together to create a more coordinated and simplified healthcare experience for individuals who qualify for both programs.

Why It Matters:

Enhanced Coordination: seamless coordination between medical, behavioral health, and long-term services and support (LTSS) benefits
Single Point of Contact: eliminating the confusion of navigating separate Medicare and Medicaid systems
Streamlined Provider Networks: ensuring the Member’s medical team works together more effectively
Comprehensive Care Management: for dual-eligible members with complex health needs and chronic conditions
Improved Health Outcomes: including better care coordination, reduced hospital re-admissions, and more personalized treatment plans tailored to each Member’s unique needs
Enhanced Regulatory Requirements: including unified grievance and appeals processes and coordinated quality measurement
Focus on Whole-Person Care: providing a more holistic approach to member well-being

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Stay Ahead of CMS Integration Requirements

Federal and state initiatives continue to prioritize coordination between Medicare and Medicaid, reinforcing the growing role of integrated care models like D-SNP paired with STAR+PLUS.

Why This Matters for Brokers:

Regulatory Alignment: CMS and the Texas Health and Human Services Commission (HHSC) are implementing new requirements that mandate higher levels of coordination between Medicare and Medicaid benefits for dual-eligible individuals.
Texas Integration Timeline: Texas HHSC is transitioning to an integrated D-SNP model beginning in Contract Year 2027, requiring all D-SNPs in the state to meet enhanced integration standards with corresponding STAR+PLUS Medicaid plans.
Quality-Focused Initiatives: Enhanced integration standards prioritize improved health outcomes, reduced care fragmentation, and better member experience through unified care management.

Competitive Advantage: Brokers who understand integrated coverage can position themselves as experts in complex dual-eligible enrollment scenarios, differentiating from competitors.

Why Choose Community?

As a local nonprofit health plan, Community Health Choice gives you plenty of reasons to join our Community. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, Community is always working life forward for you and your family.

“Community Health Choice is always there to answer my questions and help me and my family with our medical needs. I truly appreciate and value their customer support and service.”
– Cecily
Member of Community Health Choice