Special Needs Plan definition

Special Needs Plan means a Medicare health benefit plan created by the Medicare Modernization Act that is specifically designed to provide targeted care to individuals with special needs.

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Special Needs Plan or “SNP” in the Contract pertain only to the MCO’s SNBC product.

Special Needs Plan means a Medicare Advantage coordinated care plan which targets individuals with special needs, issued by an Insurance Carrier pursuant to a contract with CMS.‌

Examples of Special Needs Plan in a sentence

All references to Special Needs Plan or SNP in the Contract pertain only to MCO’s MSHO product.
If a Medicaid-only eligible individual becomes a dual eligible after enrollment, then is diagnosed as ESRD, the member must enroll in the MCO’s Special Needs Plan.
The MCO agrees to retain Medicare eligible Enrollees for up to three months after losing their Medicaid eligibility in the MCO, including Enrollees who no longer meet the requirements for managed care enrollment as part of the MCO’s Medicare Special Needs Plan enrollment.
The MCO shall respond to reasonable requests from the STATE for Special Needs Plan operational, benefit, network, financial and oversight information that directly impacts the continued integration of Medicare and Medicaid benefits in order to maintain a seamless service delivery of Medicare and Medicaid benefits to Enrollees.
Obtain all Medicare Part A, Part B and Part D benefits, if eligible, from the MCO’s Special Needs Plan.
The MCO agrees to participate in the CMS Demonstration to Align Administrative Functions for Improvements in Beneficiary Experience (Demonstration) as a Fully Integrated Medicare Advantage Dual Eligible Special Needs Plan (FIDE SNP, as defined in 42 CFR § 422.2 and further defined by CMS in the 2014 SNP Application) for MSHO enrollees as outlined in the Memorandum of Understanding between CMS and the STATE.
The MCO agrees to participate in Medicare Advantage as a Dual Eligible Special Needs Plan (SNP).
Any pets brought to Leased Premises at any time must be leashed, contained, or controlled.
Dual Eligible Special Needs Plan (D-SNP) — A Medicare Advantage Plan that primarily or exclusively enrolls individuals who are enrolled in both Medicare and MA.
The MA Health Plan has entered into a contract with the Centers for Medicare and Medicaid Services (“CMS”) to provide an MAPD Plan (“MA Agreement”) under Title XVIII and XIX of the Social Security Act, including Medicare Advantage Special Needs Plan (SNPs) that arrange for the provision of Medicare services for individua ls who are dually-eligible for both Medicare and Medicaid benefits.

More Definitions of Special Needs Plan

Special Needs Plan means a Medicare health benefit plan created by the

Special Needs Plan means a Medicare Advantage coordinated care plan specifically designed to provide targeted care and limit enrollment to special needs individuals, including institutionalized individuals, dual-eligibles and individuals with a severe or disabling chronic condition, as specified by CMS.

Special Needs Plan. ), which means its benefits are designed for people with special health care needs. Independent Health's Medicare Family Choice (HMO I-SNP) is designed specifically for people who live in an institution (like a nursing home or assisted living/adult care facility) or who need a level of care that is usually provided in a nursing home.

Special Needs Plan means a Medicare health benefit plan created by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Public Law 108-173) and the federal regulations adopted to implement the Act that is specifically designed to provide targeted care to individuals with special needs.

Special Needs Plan. ), which means its benefits are designed for people with special health care needs. Hamaspik Medicare Select is designed specifically for people who have Medicare and who are also entitled to assistance from Medicaid.