Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 10, 2016
Every applicant that proposes to offer a SNP must obtain additional CMS approval as an MA-PD plan. A CMS MA-PD contract that is offering a new SNP, or that is expanding the service area of a CMS-approved SNP, needs to complete only the SNP application portion of the MA application if CMS has already approved the service area for the MA contract. Otherwise, if the MAO is planning to expand its contract service area, it must complete both a SNP application and an MA Service Area Expansion (SAE) application for the approval of the MA service area.
The SNP application contains a list of questions and attestations requiring a “yes” or “no” response and requires the applicant to upload documentation in support of responses to the questions and attestations. This is generally similar to the format of the MA application. The timeline for submitting the SNP application is the same as the MA application timeline. All SNP applications must be submitted electronically through the Health Plan Management System (HPMS) to CMS by the SNP application due date. The MA application and the SNP application for the current contract year are available at the below link to the Medicare Advantage Applications website. The SNP application is located in appendix I of the MA application.
HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.