What is required for every Special Needs Plan (SNP) to develop?

A Special Needs Plan (SNP) is specifically designed to provide targeted benefits and services to individuals with particular needs, such as those with chronic conditions or certain disabilities. To effectively meet these needs, every SNP must develop a Model of Care.

The Model of Care is a comprehensive plan that outlines how the SNP will deliver coordinated, effective healthcare and support services tailored to its members. This model includes strategies for identifying and managing members' healthcare needs, coordinating care among different providers, and assessing the quality of care delivered. The emphasis on a tailored approach is crucial because individuals served by SNPs often require more comprehensive management than standard Medicare plans can offer.

Thus, the requirement of a Model of Care ensures that SNPs operate with the best practices and frameworks necessary to address the unique challenges faced by their members, providing a basis for quality care and effective service delivery.