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Figure 9: CY 2023 D-SNP plan offerings by state In the 2023 MA Final Rule, CMS implemented additional requirements for HIDE and FIDE SNPs starting in 2025, including a requirement that FIDE SNPs have exclusively aligned enrollment (i.e., enrollment is limited to dual eligible beneficiaries who are also enrolled in the MAOs associated Medicaid plan) and cover nearly all Medicaid-covered services through a capitated Medicaid contract

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