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 $1,000.

SNP Dual Re-determination:
Proactive, Comprehensive, Beneficial to Both Members and Plans

Member retention really comes down to uninterrupted benefit for members and annuity income 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 educate them about the process.
• Perform respectful, compassionate re-determination screening.  We have almost 25 years’ experience dealing with the senior and other special needs populations.
• Provide members with complete assistance 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, by some oversight, 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.