During this webinar, ICRC staff provided an overview of the Medicare enrollment process used by dual eligible special needs plans (D-SNPs) and described key steps and considerations for states that choose to align Medicaid coverage with D-SNP enrollment. The webinar includes information about the benefits of exclusively aligned enrollment (EAE) for dually eligible individuals and states; the reasons why a state may opt to use a “Medicare-first” approach to EAE vs. a “Medicaid-first” approach; the steps involved in D-SNP enrollment and how D-SNPs verify Medicaid eligibility before processing enrollment requests; the typical steps that Medicare-first EAE states take to align Medicaid managed care enrollment with D-SNP enrollment; and key policy decisions and file exchange options that states should consider before implementing Medicare-first EAE.