Specifications include, but are not limited to: • Highly Integrated Dual Eligible Special Needs Plan (HIDE SNP) o Provide coverage, consistent with state policy, of LTSS, BH or both under a capitated contract between the MA organization and the Medicaid agency. They are not required to have a Medicaid managed care contract under Section 1903(m) of SSA. • Fully Integrated Dual Eligible Special Needs Plan (FIDE SNP) o Provides access to Medicare and Medicaid benefits under a single entity that holds both a MA contract with CMS and a Medicaid managed care plan contract under Section 1903(m) of SSA. o Capitated contract with Medicaid provides coverage, consistent with state policy, of primary care, acute care, BH, LTSS, and at least 180 days of NF services during plan year. • D-SNP that is not a HIDE or FIDE (Coordination-Only D-SNP) o No requirements to provide coverage of Medicaid services. o At a minimum, they must share data on hospital and skilled nursing facility admissions for at least one group of high-risk full-benefit duals.
