SNP Approval and Model of Care Review Process

About the Program

Medicare Special Needs Plans (SNPs) are a type of Medicare Advantage Plan (like an HMO or PPO). SNPs were created by Congress in the Medicare Modernization Act (MMA) of 2003, as a new type of Medicare managed care plan that focus on certain vulnerable groups of Medicare beneficiaries.

What is a Model of Care?

SNP Model of Care (MOCs) are considered a vital quality improvement tool and integral component for ensuring that the unique needs of each beneficiary enrolled in a SNP are identified and addressed.

Resources for SNPs

View key dates for Model of Care reviews for CY 2019 (coming soon).
Understand the process for determining MOC scores.
View slides and listen to recordings of previous trainings.
For technical inquiries about the Model of Care Requirements, please contact the DPAP portal mailbox at https://dpap.lmi.org.