Dual eligible special needs plan definition

Dual eligible special needs plan means a special needs plan that enrolls beneficiaries entitled to both Medicare and Medicaid.
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Dual eligible special needs plan or “D-SNP” means a type of health benefits plan offered by a Centers for Medicare and
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Dual eligible special needs plan. (Dual Eligible SNP)” means the Medicare Part C and other health plan services provided to MA Health Plan Members under a SNP as defined and pursuant to an MA Agreement, as defined in 42 C.F.R. § 422.2.
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Examples of Dual eligible special needs plan in a sentence

  • Key Personnel may also have shared responsibility for a Maryland- based Dual Eligible Special Needs Plan (D-SNP).


More Definitions of Dual eligible special needs plan

Dual eligible special needs plan means a special needs plan that enrolls beneficiaries
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Dual eligible special needs plan means a Medicare Advantage health plan offering broader Medicare coverage and benefits to individuals who are dually eligible for Medicare and Medicaid benefits.
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Dual eligible special needs plan or “FIDE SNP” means a D-SNP (1) that provides Dual-Eligible Beneficiaries access to Medicare and Medicaid benefits under a single entity that holds both a Medicare Advantage contract with CMS and a Medicaid managed care organization contract under section 1903(m) of the Social Security Act with SDOH; (2) whose capitated contract with SDOH provides coverage, consistent with SDOH policy, of specified primary care, acute care, behavioral health, and long-term services and supports, and provides coverage of nursing facility services for a period of at least 180 days during the plan year; (3) that coordinates the delivery of covered Medicare and Medicaid services using aligned care management and specialty care network methods for high-risk beneficiaries; and (4) that employs policies and procedures approved by CMS and SDOH to coordinate or integrate beneficiary communication materials, enrollment, communications, grievance and appeals, and quality improvement; and (5) has received CMS designation as a FIDE SNP.
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Related to Dual eligible special needs plan

  • Special needs child means a child with needs for emotional care, behavioral care, or physical and personal care which require additional skill, knowledge, or responsibility on the part of the foster parents, as measured by Form 470-4401, Foster Child Behavioral Assessment. See subrule 156.6(4).

  • Dual status military technician means a federal civilian employee who is:

  • Master Plan means a subcontracting plan that contains all the required elements of an individual contract plan, except goals, and may be incorporated into individual contract plans, provided the master plan has been approved.

  • Dental hygienist means an individual who has fulfilled the educational requirements and is a graduate of an accredited dental hygiene program and who has passed an examination and has been issued a license by the Board and who is authorized to practice dental hygiene as hereinafter defined;