New guidelines for Medicare Advantage Special Needs Plans
Contemporary Long-Term Care Weekly, November 20, 2008
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In an effort to ensure that Medicare Advantage (MA) chronic condition Special Needs Plans (CC-SNP) serve the appropriate population, CMS recently released a list of 15 severe or disabling chronic conditions that will serve as enrollment criteria, according to a November 13 CMS press release.
The 15 chronic conditions identified are:
1. Chronic alcohol and other drugs dependence
2. Certain autoimmune disorders
3. Cancer excluding pre-cancer conditions or in-situ status
4. Certain cardiovascular disorders
5. Chronic heart failure
6. Dementia
7. Diabetes mellitus
8. End-stage liver disease
9. End-stage renal disease requiring dialysis
10. Certain severe hematologic disorders
11. HIV/AIDS
12. Certain chronic lung disorders
13. Certain chronic and disabling mental health conditions
14. Certain neurologic disorders
15. Stroke
The new enrollment criteria will go into effect in 2010. For more information on MA CC-SNPs and the identified chronic conditions, visit www.cms.hhs.gov/specialneedsplans/.
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