What is true regarding Institutional Special Needs Plans (ISNPs)?

Institutional Special Needs Plans (ISNPs) are designed specifically for individuals who require a higher level of care due to residing in an institution, such as a nursing home or another long-term care facility. The requirement that an individual must need an institutional level of care for 90 days or longer ensures that these plans are tailored to meet the unique healthcare needs of those who have significant and ongoing healthcare requirements due to their living situation.

This eligibility criteria plays a crucial role as it helps ensure that the services, coverage, and benefits provided by ISNPs are adequately aligned with the more complex health needs of their members. Those enrolled in these plans typically receive specialized care coordination and tailored services that are essential for managing their health conditions, which can often be more intricate in an institutional setting.

Understanding this characteristic of ISNPs emphasizes their focus on a specific population that requires continuous and dedicated healthcare support due to long-term residence in an institution, thereby ensuring they receive appropriate and effective healthcare services.