What is the required development for each Special Needs Plan?

Study for the Anthem Medicare Advantage Certification Exam. Prepare with flashcards and multiple choice questions, each question includes hints and explanations. Get exam ready!

The correct choice, which is the Model of Care, is essential for each Special Needs Plan (SNP) because it outlines the comprehensive approach the plan takes to meet the unique needs of its members. The Model of Care is a structured framework that includes specific methods for identifying and managing chronic conditions, coordinating care, and providing tailored services to ensure high-quality care for the enrolled population. It encompasses the strategies for integrating medical care, behavioral health services, and social support systems, which are critical for effectively managing the health of SNP members.

This development not only helps in delivering effective and personalized care but is also a regulatory requirement for SNPs, ensuring that they adhere to the standards set forth by Medicare for serving individuals with special needs. By having a well-defined Model of Care, SNPs can demonstrate their commitment to the health outcomes of their members and improve overall satisfaction.

In contrast, while other options like Service Level Agreements, Provider Network Agreements, and Care Coordination Plans are important aspects of a healthcare plan, they do not specifically define the holistic care delivery model necessary for Special Needs Plans. They may support certain functions within health plans but do not capture the comprehensive approach that the Model of Care entails.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy