What Are the Eligibility Requirements for Special Needs

1.  Dual Eligible SNP (D-SNP) – You’re eligible for both Medicare and Medicaid. Some D-SNPs may provide Medicaid services in addition to Medicare services. D-SNPs contract with your state Medicaid program to help coordinate your Medicare and Medicaid benefits, depending on the state and your eligibility.

2,  Chronic Condition SNP (C-SNP) – You have one or more of these severe or disabling chronic conditions:'

• Chronic alcohol and other dependence 
• Certain autoimmune disorders 
• Cancer (excluding pre-cancer conditions)
• Certain cardiovascular disorders
• Chronic heart failure
• Dementia
  
• Diabetes mellitus
  
• End-stage liver disease
  
• End-Stage Renal Disease (ESRD) requiring dialysis (any mode of dialysis)
  
• Certain severe hematologic disorders
  
• HIV/AIDS
  
• Certain chronic lung disorders
  
• Certain chronic and disabling mental health conditions
  
• Certain neurologic disorders
• Stroke

3.  Institutional SNP (I-SNP) – You live in the community but need the level of care a facility offers, or you live (or are expected to live) for at least 90 days straight in a facility like a:

• Nursing home
  
• Intermediate care facility
  
• Skilled nursing facility
  
• Rehabilitation hospital
  
• Long-term care hospital
  
• Swing-bed hospital
  
• Psychiatric hospital
  
• Other facility that offers similar long-term, health care services and whose residents have similar needs and health care status as residents of the facilities listed above.