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.
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

  • Like all Medicare Advantage Plans, this Medicare Special Needs Plan is approved by Medicare.

  • Like all Medicare Advantage plans, this Medicare Special Needs Plan is approved by Medicare.

  • Like all Medicare health plans, this Medicare Advantage Special Needs Plan is approved by Medicare and run by a private company.

  • Like all Medicare health plans, this Medicare Special Needs Plan is approved by Medicare and run by a private company.

  • This plan is a Dual Eligible Special Needs Plan (D-SNP) for people who have both Medicare and Medicaid.

  • All references to Special Needs Plan or SNP in the Contract pertain only to MCO’s MSHO product.

  • This plan is a Dual Eligible Special Needs Plan (D-SNP) for people who have both Medicare and Medicaid, and don’t pay anything for covered medical services.

  • As a member of the plan, you get specially tailored benefits and have all your care coordinated through our plan.Like all Medicare health plans, this Medicare Special Needs Plan is approved by Medicare and run by a private company.

  • 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.

  • Individuals living with HIV who are enrolled in an MCO (voluntarily or by default) may request transfer to an HIV Special Needs Plan (SNP) at any time if one or more HIV SNPs are in operation in the individual’s district.


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.

Related to Special Needs Plan

  • Special Needs beneficiary is one who needs additional time to complete his/ her education due to physical, mental or emotional limitations. In addition, as discussed below, a beneficiary may roll over contributions to another Xxxxxxxxx Education Savings Account until he or she attains age 30. A beneficiary may also roll over his or her Xxxxxxxxx Education Savings Account to a new beneficiary who is a member of his or her family so long as the recipient has not attained age 30.

  • 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).

  • Special needs trust means a trust the trustee believes would not be considered a resource for purposes of determining whether a beneficiary with a disability is eligible for governmental benefits.

  • Cooperative education program means a written voluntary agreement between and among districts to provide certain educational programs for pupils in certain groups of districts. The written agreement shall be approved by all affected districts at least annually and shall specify the educational programs to be provided and the estimated number of pupils from each district who will participate in the educational programs.

  • Source Protection Plan means a drinking water source protection plan prepared under the Clean Water Act, 2006;

  • Qualifying Educational Program means a program at a post-secondary school level of not less than three consecutive weeks duration that requires each student taking the program to spend not less than 10 hours per week on courses or work in that program.

  • Security Management Plan means the Supplier's security management plan prepared pursuant to paragraph 3 of schedule 2 an outline of which is set out in paragraph 2.7 of the Order Form as updated from time to time;

  • Pay Plan means the scale of wages as contained in the attached Appendix “A” and the rules governing its application, as per Article 12.

  • Group long-term care insurance means a long-term care insurance policy which is delivered or issued for delivery in this State and issued to:

  • Child with special needs means a child with one or more of the following conditions:

  • Medical flexible spending arrangement or "medical FSA" means a benefit plan whereby eligible state employees may reduce their salary before taxes to pay for medical expenses not reimbursed by insurance as provided in the salary reduction plan established under chapter

  • 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.

  • Alternative education program means a school or separate class group designed to best serve students’ educational needs and interests and assist students in achieving the academic standards of the district and the state.

  • Procurement Plan means the Recipient’s procurement plan for the Project, dated April 2, 2010, and referred to in paragraph 1.16 of the Procurement Guidelines and paragraph 1.24 of the Consultant Guidelines, as the same shall be updated from time to time in accordance with the provisions of said paragraphs.

  • Management Plan means a plan to manage the activities and protect the special value or values in an Antarctic Specially Protected Area or an Antarctic Specially Managed Area.

  • Qualified medical provider means the same as that term is defined in Section 26-61a-102.

  • Nursing home-type patients means a patient who has been in hospital more than 35 days, no longer requires acute hospital care, cannot live independently at home or be looked after at home, and either cannot be placed in a nursing home or a nursing home place is not available.

  • Maintenance Plan means a maintenance plan pursuant to N.J.A.C. 7:8-5.2(b) and 5.8 prepared by the design engineer for the stormwater management measures incorporated into the design of a major development.

  • Special purpose spray adhesive means an aerosol adhesive that meets any of the following definitions:

  • Financial need means the difference between the total costs of the project less the total financing that will be received for the project.

  • educational establishment means any school, college or other educational body designated by the Minister by order either specifically or by reference to a class, for the purposes of this Act;

  • Basic health plan means the plan described under chapter

  • Access Arrangement means an arrangement for access to a Covered Pipeline that has been approved by the Relevant Regulator.

  • Approved abuse education training program means a training program using a curriculum approved by the abuse education review panel of the department of public health or a training program offered by a hospital, a professional organization for physicians, or the department of human services, the department of education, an area education agency, a school district, the Iowa law enforcement academy, an Iowa college or university, or a similar state agency.

  • Group health benefit plan means any health care plan, subscription contract, evidence of

  • Basic health plan model plan means a health plan as required in RCW 70.47.060(2)(e).