Beginning in CY 2025, Medicare Advantage plans must be able to demonstrate that Special Supplemental Benefits for the Chronically Ill (SSBCI) meet the legal threshold of having a reasonable expectation of improving the health or overall function of chronically ill enrollees, as supported by research. Medicare Advantage plans must demonstrate meeting this threshold annually when bids are submitted; CY 2025 bids were submitted by June 3, 2024.

Better Medicare Alliance developed a tool that enables Medicare Advantage plans and stakeholders to search and explore the relevant articles and evidence published on the core SSBCI.