Medicare-Medicaid Institutional Special Needs Plan (I-SNP) Months

SAS Name
MDCR_I_SNP_MOS

This variable is the number of months during the year that the beneficiary was enrolled in a Medicare Special Needs Plan (SNP) for institutional care.

Comments

CCW creates this variable by linking the MBSF monthly Part D contract ID with the Plan Characteristics file, and then counting the months where the Plan Characteristics special needs plan variable indicated the plan was for institutional care (where SNP_TYPE = I). Institutional Special Needs Plans (I-SNPs) are SNPs that restrict enrollment to MA eligible individuals who, for 90 days or longer, have had or are expected to need the level of services provided in a long-term care (LTC) skilled nursing facility (SNF), a LTC nursing facility (NF), a SNF/NF, an intermediate care facility for individuals with intellectual disabilities (ICF/IDD), or an inpatient psychiatric facility.

Additional details regarding I-SNP plans are available on the CMS website: https://www.cms.gov/Medicare/Health-Plans/SpecialNeedsPlans/I-SNPs

Values: 0-12, or null/missing (if no Medicare enrollment)

Source: MBSF (derived)