Dual eligible special needs plan
Dual eligible special needs plan or D-SNP means a specialized MA plan for special needs individuals who are entitled to medical assistance under a State plan under title XIX of the Act that (1) Coordinates the delivery of Medicare and Medicaid services for individuals who are eligible for such services; (2) May provide coverage of Medicaid services, including long-term services and supports and behavioral health services for individuals eligible for such services; (3) Has a contract with the State Medicaid agency consistent with 422.107 that meets the minimum requirements in paragraph (c) of such section; and (4) Beginning January 1, 2021, satisfies one or more of the following criteria for the integration of Medicare and Medicaid benefits: (i) Meets the additional requirement specified in 422.107(d) in its contract with the State Medicaid agency. (ii) Is a highly integrated dual eligible special needs plan. (iii) Is a fully integrated dual eligible special needs plan.