C-SNP, D-SNP, I-SNP Medicare
Who is Eligible? If you have 2 or more serious chronic conditions (like arthritis and diabetes) that you expect to last at least a year, Medicare may pay for a health care provider’s help to manage your care for those conditions.
Model of Care (MOC)
As provided under section 1859(f)(7) of the Social Security Act, every SNP must have a Model of Care (MOC) approved by the National Committee for Quality Assurance (NCQA). The MOC provides the basic framework under which the SNP will meet the needs of each of its enrollees. The MOC is a vital quality improvement tool and integral component for ensuring that the unique needs of each enrollee are identified by the SNP and addressed through the plan’s care management practices. The MOC provides the foundation for promoting SNP quality, care management, and care coordination processes. Please note that detailed information regarding the SNP MOC elements and scoring criteria are located in chapter 5 of the Medicare Managed Care Manual, which can be found at the link below.
a SAMPLE from Medicare.gov metro Minnesota. Your area may offer other coverages.
If you do not have a Medicare Advantage and have a chronic condition. Do not give up your Supplement for an Advantage plan.
