US · guidance
CMS Pub. 100-16, ch. mc86c16b, § 20.1.1
General
C-SNPs are SNPs that restrict enrollment to special needs individuals with specific severe or
disabling chronic conditions, defined in 42 CFR 422.2. Approximately two-thirds of Medicare
enrollees have multiple chronic conditions requiring coordination of care among primary
providers, medical and mental health specialists, inpatient and outpatient facilities, and extensive
ancillary services related to diagnostic testing and therapeutic management.
A C-SNP must have specific attributes that go beyond the provision of basic Medicare Parts A
and B services and care coordination that is required of all CCPs, in order to receive the special
designation and marketing and enrollment accommodations provided to C-SNPs. (See section
60 below and the Medicare Marketing Guidelines at: https://www.cms.gov/Medicare/Health-
Plans/ManagedCareMarketing/FinalPartCMarketingGuidelines.html, for more information on
SNP-specific marketing).
History
(Rev. 123, Issued: 08-19-16, Effective: 08-19-16, Implementation: 08-19-16)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
423974aeb934a9dd3583af1f83632fc029785c2c06961e344eb712af49cc6e4d
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