US D-SNP Enrollment Tops 6M

By Mid-Q2 2026, D-SNP membership reached 6.5M, representing ~20% of Medicare Advantage enrollment and highlighting growing use of coordinated coverage options nationwide today.
D-SNPs operate in every state except Alaska, New Hampshire, and Vermont, while >9 in 10 dual eligibles have a county option available.
Federal rules require population-based care models, Medicaid coordination, screening for transportation, housing, and food needs, plus advisory committees representing enrollees and served communities.
States can shape contracts by setting enrollment rules, care coordination details, cost-sharing responsibilities, transparency expectations, and added access protections for dual eligibles.
As enrollment continues growing, advocates can monitor provider access, transitions, appeals, supplemental benefits, and equity outcomes to support coordinated care for dual eligibles.