Dual Eligible Special Needs Plans (D-SNPs)
SKYGEN is the trusted partner for managing Dual Eligible Special Needs Plans (D-SNPs), delivering integrated dental and vision solutions that meet CMS requirements and enhance member experience. With deep expertise in coordinating Medicare and Medicaid benefits, SKYGEN supports all D-SNP models—FIDE, HIDE, and Coordination Only—while ensuring compliance, cost efficiency, and superior outcomes. Our advanced technology and proven processes simplify administration, improve access to care, and help plans stand out in a competitive market. Partner with SKYGEN to unlock growth and deliver exceptional value for the high-need dual-eligible population.
SKYGEN is the trusted partner for managing Dual Eligible Special Needs Plans (D-SNPs)
SKYGEN Administers Special Needs Plans & Medicare/Medicaid Dual Plans for over 2 million members in 45 states plus Washington D.C.
The number of Special Needs plans has more than doubled since 2018 with plenty of room for growth.
- In 2025, 5.9 million Medicare beneficiaries enrolled in D-SNPs
- Only 28% of Dually Eligible beneficiaries enrolled in D-SNP Medicare Advantage plans
- Nearly six in ten SNPs (59%) are designed for people dually eligible for Medicare and Medicaid (D-SNPs).
SKYGEN's Technology & Deep Expertise Helps Deliver:
Proven Expertise
With more than 15 years of experience supporting Dual Eligible Special Needs Plans (D-SNPs), SKYGEN brings a deep operational and regulatory command of these complex programs. The SKYGEN Enterprise System amplifies this expertise by delivering automated workflows, real time insights, and configurable rules engines that reflect the nuances of D-SNP program administration. Together, our people and platform give plans the advantage of proven processes, data driven decision support, and performance insights shaped by real-world outcomes—positioning organizations to thrive in a high need, high scrutiny market.
Integrated Approach
SKYGEN understands that sustainable D-SNP growth requires true alignment across Medicare and Medicaid operations. The SKYGEN Enterprise System unifies these domains—bringing Medicare Advantage and Medicaid requirements, into a D-SNP plan design. Bringing improved member experiences through streamlined communications, simplified processes, and consistent interactions across programs.
Compliance Confidence
D-SNPs face some of the most complex regulations in Medicare Advantage. SKYGEN helps plans stay ahead of evolving CMS integration rules, including Unified member materials, Integrated Organization Determination workflows, State Medicaid Agency (SMAC) alignment, HIDE/FIDE integration standards, Network, and reporting. Our compliance infrastructure ensures you can meet requirements with confidence, reducing administrative burden and mitigating regulatory risk.
Scalable Solutions
Every D-SNP population is different—state Medicaid programs, integration policies, and beneficiary needs vary widely. SKYGEN provides flexible, scalable plan designs and administrative solutions that support: Managing all different business lines on one platform, Expansion into new markets, Rapid implementation of new benefits or plans, Tailored experiences for different D-SNP (AIP or Non-AIP) and Growth from coordination-only models to HIDE or FIDE D-SNPs. Whether you're optimizing a single service area or scaling nationally, we match your growth trajectory with the right operational foundation.
Top 5 Challenges
Administering Medicare Advantage dental and vision brings a lot of questions about attracting members, digital tools, managing costs and maintaining high-quality care. We have the solutions you need.
Maximize MA
Are you maximizing the Medicare Advantage dental and vision opportunity? As an experienced partner, SKYGEN can help insurers thrive in the MA dental market. Learn more in our new ebook.
Stand out in the Medicare Advantage market
Our solutions can elevate your MA dental and vision programs, so you'll stand out from the crowd.
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