Medicare Managed Care Manual Chapter 16-B: Special Needs Plans: Updates on Zero-Dollar Cost Sharing D-SNPs

Relevant to: MAOs

The purpose of this memorandum is to share updates to section (D-SNPs With or Without Medicare Zero-Dollar Cost Sharing) of Chapter 16-B of the Medicare Managed Care Manual regarding which plans qualify as Medicare Zero-Dollar Cost Sharing D-SNPs, as well as three new sections added to Chapter 16-B as follows:

  • Definition of Medicare Zero-Dollar Cost Sharing Dual Eligible Special Needs Plans;
  • Special Considerations for PPO D-SNPs; and
  • Medicare Zero-Dollar Cost Sharing D-SNPs and Enrollee Lapse in Medicaid

See the full guidance for more information.