HHCMs will use the NYS Eligibility Assessment to determine if HARP–enrolled or HARP–eligible HIV SNP enrolleesare eligible for Adult BH HCBS. The NYS Eligibility Assessment will determine Tier 1 Eligibility (employment, education, and peer support services only), Tier 2 Eligibility (full array of BH HCBS), or No BH HCBS Eligibility. Special Needs Plans What is a Special Needs Plan? A special needs plan (SNP) is a Medicare Advantage (MA) coordinated care plan (CCP) specifically designed to provide targeted care and limit enrollment to special needs individuals. A special needs individual could be .
An SNP for dual-eligible individuals might offer the services of a care coordinator, a person whose job it is to help the beneficiary find appropriate services in her community. A Medicare special needs plan can make sense for those with a permanent disability, folks with chronic or multiple conditions such as diabetes, or diabetes and. The list of SNP-specific chronic conditions is not intended for purposes other than clarifying eligibility for the C-SNP CCP benefit package. CMS may periodically re-evaluate the fifteen chronic conditions as it gathers evidence on the effectiveness of care coordination through the SNP product, and as health care research demonstrates advancements in chronic condition .
Special Needs Plans (SNP) How Medicare SNPs work Medicare SNPs are a type of Medicare Advantage Plan (like an HMO or PPO). Medicare SNPs limit membership to people with specific diseases or characteristics. Dual Eligible SNP (D-SNP): You have both Medicare and Medicaid [Glossary]. Each Medicare SNP limits its membership to people in one of these groups, or a subset of one of these groups. For example, a Medicare SNP may be designed to serve only people diagnosed with congestive heart failure. The plan might include access to a network of providers.