Special Needs Plan Model of Care

Provider Type

  • Physicians
  • Participating Physician Groups (PPG)
  • Hospitals
  • Ancillary

Wellcare By Health Net (Health Net) provides a coordinated Special Needs Plan (SNP) for members with certain chronic diseases (C-SNP). Providers must attest the member has diabetes, congestive heart failure or cardiovascular disorders (cardiac arrhythmias, coronary artery disease, peripheral vascular disease, chronic venous thromboembolic disorders) to enroll.

Health Net also provides a coordinated SNP for members who are dually eligible for Medicare and Medi-Cal/Medicaid (D-SNP).

SNP Model of Care Annual Training

The Centers for Medicare & Medicaid Services (CMS) requires that SNP providers and appropriate staff (those involved in any aspect of the provision of SNP services) complete SNP Model of Care (MOC) Annual Training each year by December 31. The training can be provided in a variety of modalities, such as printed, face-to-face, or online Web-based formats. Wellcare By Health Net (Health Net) requests physicians and other providers who treat SNP members to submit a voluntary attestation after completion of the MOC training, which can be found after completing the training. Remember to provide Model of Care training to new hires in addition to annually for existing staff.