When must the eligibility of beneficiaries in SNPs be reconfirmed?

In Special Needs Plans (SNPs), the eligibility of beneficiaries must be reconfirmed at least annually. This requirement is essential because SNPs are specifically designed for individuals with certain chronic illnesses, disabilities, or those who reside in institutions, and the needs and circumstances of these beneficiaries can change over time. An annual reassessment ensures that the plans can adapt to any changes in a beneficiary's situation and that they continue to meet the eligibility criteria set for the SNPs.

Annually checking eligibility allows for timely updates to care management and health services that are critical for the health and well-being of these individuals. This process supports ongoing adherence to federal guidelines and helps providers offer appropriate and effective care tailored to the unique needs of the SNP population.