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If you work in the Dual Eligible Special Needs Plan (DSNP) space, this is either a helpful reminder—or big news. The Centers for Medicare & Medicaid Services (CMS) is officially ending the Medicare-Medicaid Plan (MMP) Demonstration at the end of this year across all 11 participating states.
Read the official CMS memo here →
This shift marks a significant moment in the DSNP market, and as an agent, you need to be ready.
Roughly 245,000 MMP members will be impacted in 2026. These beneficiaries were originally auto-enrolled into their MMPs—without agent involvement. As the MMP demonstration concludes, members will either be:
Crosswalked into another plan by their current carrier
Required to make a new DSNP enrollment choice during the 2026 Annual Enrollment Period (AEP)
Either way, this means disruption—and opportunity. These individuals are about to re-enter the market for the first time in years, creating a major chance for agents to educate, support, and serve them with the right coverage.
Here’s where MMP is going away, along with how many members are currently enrolled:
State | MMP Enrolled |
---|---|
Illinois (IL) | 75,378 |
Ohio (OH) | 53,787 |
Massachusetts (MA) | 39,927 |
Michigan (MI) | 34,072 |
Texas (TX) | 15,408 |
Rhode Island (RI) | 10,858 |
South Carolina (SC) | 7,990 |
New York (NY) | 1,695 |
Kentucky (KY) | 50 |
Indiana (IN) | 46 |
Wisconsin (WI) | 19 |
These members will need guidance navigating their new DSNP options—something only a knowledgeable, licensed agent can provide.
As you gear up for 2026 AEP, this is the time to:
Prepare for the influx of dual-eligible members.
Understand DSNP differences and value props to better educate and enroll this audience.
Develop outreach strategies for communities where auto-enrolled MMP members may not even know what DSNP options are available.
Emphasize local knowledge—each state’s market varies, and carriers may approach this transition differently.
This isn't just a compliance update—it’s one of the biggest DSNP opportunities we've seen in years. These 244,000+ dual-eligible members will need help making an informed decision during 2026 AEP. Agents who are prepared can make a meaningful impact—and build lasting relationships.
If you're serious about growth in the DSNP market, this is your signal to lean in.
Need support training agents or building a compliant DSNP sales strategy?
We’re here to help. Contact us today to start planning for the upcoming transition.
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*For agent use only. Not affiliated with the U. S. government or federal Medicare program. This website is designed to provide general information on Insurance products, including Annuities. It is not, however, intended to provide specific legal or tax advice and cannot be used to avoid tax penalties or to promote, market, or recommend any tax plan or arrangement. Please note that PSM Brokerage, its affiliated companies, and their representatives and employees do not give legal or tax advice. Encourage your clients to consult their tax advisor or attorney.