Aug 15, 2022 · A state’s role in a D-SNP is distinct compared to a basic Medicare Advantage plan. In a D-SNP, states can oversee: Development of program design Setting of regulations Monitoring of D-SNP performance Alignment with State Medicaid Agency Contracts (SMAC) requirements 12 Figure 1. D-SNP Enrollment Growth, 2017-2021 2,000,000 2,500,000 …

Jun 28, 2022 · enrolled in a D-SNP2 Nearly 12 M individuals across the United States qualify for these plans3 Over the last 10 years, D-SNP enrollment has increased from 1.29 M to 3.84 M4 Eligibility Traditionally, individuals who are dually eligible must navigate Medicare and Medicaid separately. D-SNPs offer benefits and

Oct 4, 2022 · A Dual Eligible Special Needs Plan (D-SNPs) is a type of Medicare Advantage plan designed for people who are eligible for both Medicare and Medicaid.

Oct 4, 2022 · A Dual Eligible Special Needs Plan (D-SNP) offers more benefits and services to members compared to the average Medicare Advantage plan. D-SNPs centralize care from Medicaid and Medicare to make it easier for patients to navigate.

A Fully Integrated Dual Eligible (FIDE) is a specific dually eligible individual who receives fully integrated Medicare and Medicaid benefits from a single managed care organization (MCO) through a Fully Integrated Dual Special Needs Plan (FIDE-SNP).

Oct 4, 2022 · A Dual Eligible Special Needs Plan (D-SNPs) cares for individuals who often have complex care needs. D-SNPs meet the needs of members with person-centered care plans that integrate both Medicaid and Medicare benefits.

Oct 12, 2022 · A Dual Eligible Special Needs Plan (D-SNP) is a type of Medicare Advantage plan designed for people who are eligible for both Medicare and Medicaid. Currently, nearly 3.8 million individuals are enrolled in a D-SNP across the 45 states offering them.

CMS grants D-SNP plans additional benefit flexibility to offer non-primary health related benefits to the entire population based on a member’s low-income subsidy status (LIS). In contrast, Medicare Advantage plans only allow this benefit flexibility for members who meet select criteria for chronic illness.1

This includes D-SNP members and those with long-term supports and services requirements due to aging, chronic illness or disability. By focusing on the whole person rather than individual conditions, complex care aims to deliver more personalized, patient-centered care.

Benefits of a D-SNP Dual Eligible Special Needs Plans (D-SNPs) are a type of Medicare Advantage plan designed for people who are eligible for both Medicare and Medicaid. D-SNPs can help centralize the care from the two programs and provide patient-focused care that is designed to be easier to navigate.