US · guidance
CMS Pub. 100-16, ch. mc86c16b, § 30.1
General
Every applicant that proposes to offer a SNP must obtain additional CMS approval as an MA-PD
plan. A CMS MA-PD contract that is offering a new SNP, or that is expanding the service area of a
CMS-approved SNP, needs to complete only the SNP application portion of the MA application if
CMS has already approved the service area for the MA contract. Otherwise, if the MAO is planning
to expand its contract service area, it must complete both a SNP application and an MA Service Area
Expansion (SAE) application for the approval of the MA service area. Further guidance on SAE
procedures is provided in section 30.4 of this chapter.
The SNP application contains a list of questions and attestations requiring a “yes” or “no” response
and requires the applicant to upload documentation in support of responses to the questions and
attestations. This is generally similar to the format of the MA application. The timeline for
submitting the SNP application is the same as the MA application timeline. All SNP applications
must be submitted electronically through the Health Plan Management System (HPMS) to CMS by
the SNP application due date. The MA application and the SNP application for the current contract
year are available at http://www.cms.hhs.gov/MedicareAdvantageApps/. The SNP application is
located in appendix I of the MA application.
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
f9383b2d11e4748e9f51a1ed1c8f5efb4b913570bd2d0d8276ef59be67a3de49
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