Guidance resources for Division of Medicare Advantage Operations (DMAO)
Special Needs Plan (SNP)

CMS guidance documents related to SNP.

Answers to previously asked questions.

Resources if your questions do not relate to SNP.

Please review the available guidance documents and the resources below that may answer your question.

Applicants and other interested parties, who do not have access to Health Plan Management System (HPMS), can stay abreast of current HPMS memos and guidance by subscribing to the Medicare Advantage listserv.  CLICK HERE for instructions on how to subscribe to the listserv

Answers to previously asked questions

Following are available resources if your questions do not relate to Part C benefits policy:

Encounter Data, please submit an email to encounterdata@cms.hhs.gov

Risk Adjustment, please submit an email to riskadjustment@cms.hhs.gov

Marketing, please submit an email to Marketing@cms.hhs.gov

Part C and Part D Star Ratings, please submit an email to PartCandDStarRatings@cms.hhs.gov

HEDIS, please submit an email to hedisquestions@cms.hhs.gov

Part C Quality, including the Model of Care, please submit question via: https://dpap.lmi.org/ 

Application Crosswalk Exceptions questions/requests, please submit an email to HPMScrosswalkexceptions@cms.hhs.gov

Medicare Advantage Benefit questions, please submit an email to https://mabenefitsmailbox.lmi.org

HPMS access, please submit any questions or requests to hpms_access@cms.hhs.gov

Technical HPMS questions (e.g., PBP download, plan creation, bid upload), please contact the HPMS Help Desk at 1-800-220-2028 or hpms@cms.hhs.gov

Out-of-Pocket Cost (OOPC) model technical questions, please submit an email to OOPC@cms.hhs.gov

Part D policy questions, please submit an email to partdpolicy@cms.hhs.gov

Part D benefits questions, please submit an email to partdbenefits@cms.hhs.gov

Bid Pricing Tool (BPT) questions, please submit an email to actuarial-bids@cms.hhs.gov

For Part C Medicare Advantage policy questions, please submit an email to: https://dpap.lmi.org/DPAPMailbox/ 

Medicare Medicaid Program, please submit an email to mmcocapsmodel@cms.hhs.gov

Part C Appeals or Medicare Managed Care Manual Chapter 13, please submit an email to Part_C_Appeals@cms.hhs.gov

For Medicare Advantage Value-Based Insurance Design (MA-VBID) model questions, please submit an e-mail to: MAVBID@cms.hhs.gov

 
Question

SNP Question

Please review the available guidance documents and resources described above before submitting a question.