SNP

Special Needs Plans (SNP)

If you are a provider contracted with CarePlus and have questions regarding SNPs, please contact your CarePlus provider services executive or e-mail us at CPHP_SNPInfo@CarePlus-HP.com.

Required Annual Training

This training provides an overview of SNPs and the responsibilities physicians and other participating health care providers have for their CarePlus-covered SNP patients. The link below allows you to view the two-part educational presentation.

CarePlus SNP Provider Education Parts 1 and 2 (link opens in new window) 

Additional SNP Resources

Special Needs Plans Model of Care — Full Version

The CarePlus Models of Care (MOC) focuses on delivering and coordinating care management and services for special needs members. It addresses preventive care as well as acute and chronic disease processes across the continuum of care. The CarePlus Model of Care is member-centric and based on an interdisciplinary care team (ICT) approach that includes participation by members, their families and/or caregivers, primary care physicians, care managers, specialty physicians, ancillary providers and/or vendors involved in the treatment of the member. Please review the Dual Eligible SNP Model of Care document below, as it contains important information about CarePlus’ SNP program goals and processes.

PDFSNP MOC CareNeeds (HMO SNP) & CareNeeds PLUS (HMO SNP) – Dual Eligible (link opens in new window) 

2016 Quality Improvement Evaluation: Model of Care for Special Needs Plans

Each year, CarePlus evaluates its model of care for special needs plans. To obtain details related to the 2016 evaluation, please send an email to CPHP_SNPinfo@careplus-hp.com. In the subject line, please write “2016 MOC evaluation.”

CarePlus is a Coordinated Care plan with Medicare and Florida Medicaid contracts. Enrollment in CarePlus depends on contract renewal.

State resources

The Agency for Health Care Administration (AHCA) is responsible for the administration of the Florida Medicaid program, licensure and regulation of Florida health facilities. Below is the AHCA website address. The site contains resources that may help you better understand Medicaid benefits and services.

Find Medicare Advantage Plans

Find Medicare Advantage Plans