US · guidance
CMS Pub. 100-16, ch. mc86c16b, § 20.1.3.2
MAO-Customized Group of Multiple Chronic Conditions
MAOs may develop their own multi-condition C-SNPs for enrollees who have all of the
qualifying commonly co-morbid and clinically linked chronic conditions in the MAO’s specific
combination. MAOs that pursue this customized option must verify that enrollees have all of the
qualifying conditions in the combination. MAOs interested in pursuing this option for multi-condition C-SNPs are limited to groupings of the same 15 conditions selected by the panel of
clinical advisors that other C-SNPs must select. As with SNPs pursuing the Commonly Co-Morbid and Clinically-Linked Option described in section 20.1.3.1, CMS will carefully assess
the prospective multi-condition SNP application to determine the adequacy of its care
management system for each condition in the combination and will review the MOC and benefits
package.
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
31f6da331633af628398ff23d9e4011f824241dfb7745449ba47dc979b81c580
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