Dual SNP Member Re-determination
- Systematic, proactive member re-determination.
- Sustained enrollment to optimize member management.
Human Arc’s Special Needs Plan Services help dual SNP’s optimize their member management through dual (Medicaid) re-determination and re-enrollment of their existing membership. Now, more than ever before, member retention is important to health plans, as acquiring a new member to “replace” an existing one can cost as much as $600. Human Arc also provides pre-enrollment and post-enrollment Medicaid status verification services, enabling plans to meet CMS requirments.
SNP Dual Re-determination:
Proactive, Comprehensive, Beneficial to Both Members and Plans
Member retention really comes down to uninterrupted benefit for members and annuity capitation protection for you. Human Arc’s proactive dual status management programs:
- Notify your members well ahead of deadlines of their need for renewal and then support them in the process.
- Perform respectful, compassionate re-determination screening. We have decades of experience dealing with the senior and other special needs populations.
- Provide members with complete assistance, as needed, throughout the re-enrollment process, all the way to approval. And we archive required supporting documentation so successive re-enrollment involves even less effort for members.
- Equip you with the all best evidence to maintain membership during Medicaid re-enrollment period in those rare instances when members do lose dual status.
- Provide you with comprehensive, monthly re-determination reporting (down to the individual member level), allowing you to be reassured that your members’ dual status is current and accurate.
- Notify you immediately whenever dual status is not possible so you can initiate proper dis-enrollment procedures.
SNP Services Case Studies
Nothing speaks like proof, so here's how our SNP Services have actually helped our clients.