VillageCareMAX has released its Third Quarter 2025 Provider Bulletin containing critical updates that will impact provider operations, credentialing requirements, and patient care delivery. Network providers should review these changes carefully and take necessary actions to ensure compliance and continuity of care.
Major Plan Changes Effective January 1, 2026
The most significant announcement is the discontinuation of the VillageCareMAX Medicare Health Advantage FLEX Plan (HMO D-SNP), effective January 1, 2026. This Dual-Eligible Special Needs Plan served Medicare beneficiaries who also qualify for Medicaid assistance. Providers should:
- Review their patient rosters to identify FLEX Plan members
- Prepare for potential member transitions to other VillageCareMAX plans
- Update billing and office systems to reflect the discontinued plan
- Communicate with affected patients about coverage changes
- Verify credentialing status for remaining VillageCareMAX plan offerings
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