SNP

Special Needs Plans (SNP)

Medicare special needs plans (SNPs) are a type of Medicare Advantage plan (like an HMO or PPO). Medicare SNPs limit membership to beneficiaries with specific diseases or characteristics. Their benefits, provider choices and drug formularies are tailored to best meet the specific needs of the groups they serve. If you have questions about CarePlus’ SNPs, contact your provider services executive or email us at CPHP_SNPInfo@CarePlus-HP.com.

Required Annual Training

Providers caring for patients in CarePlus Special Needs Plans (SNPs) are required to receive SNP training upon initial contracting and annually thereafter. This training provides an overview of dual-eligible and chronic condition SNPs, and the responsibilities healthcare providers have for their CarePlus-covered SNP patients. The link below takes you to our two-part educational presentation.

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

Additional SNP Resources

Quality Improvement Evaluation: Model of Care for Special Needs Plans

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

CarePlus is an HMO plan with a Medicare contract and a contract with the Florida Medicaid Program. Enrollment in CarePlus depends on contract renewal.

State Resources

The Agency for Health Care Administration (AHCA) administers the Florida Medicaid program and oversees licensure and regulation of Florida health facilities. Visit AHCS’s website (link opens in new window)  to access resources that may help you better understand Medicaid benefits and services as they relate to SNPs.