US · guidance
CMS Pub. 100-16, ch. mc86c16b, § 70.3
Meaningful Difference in Plan Benefits
To determine whether SNPs satisfy the meaningful difference requirement outlined in chapter 4
of the MMCM, SNPs are evaluated by groups or subgroups, as appropriate, of SNP types, as
follows:
• C-SNPs: Separated by the chronic disease served.
• I-SNPs: Separated into the categories of either Institutional (Facility), Institutional
Equivalent (Living in the Community), or a combination of Institutional and
Institutional Equivalent.
• D-SNPs: Excluded from the meaningful difference evaluation.
For more information on CMS’s meaningful difference requirements for SNPs, please refer to
the annual “Announcement,” located at: https://www.cms.gov/Medicare/Health-
Plans/MedicareAdvtgSpecRateStats/Announcements-and-Documents.html.
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
5836608e6d7c9ecfb720ca2e07cc069b66fd060001e087c8ca5e175affcecf7a
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