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15 C-SNP Medicare Eligible Conditions

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https://www.cms.gov/Medicare/Health-Plans/SpecialNeedsPlans/C-SNPs

https://www.cms.gov/Medicare/Health-Plans/SpecialNeedsPlans/Downloads/RFI-Chronic-Condition-SNP-Panel.pdf

15 SNP-Specific Chronic Conditions:
Chronic alcohol and other drug dependence
Autoimmune disorders limited to:
Polyarteritis nodosa
Polymyalgia rheumatica
Polymyositis
Rheumatoid arthritis
Systemic lupus erythematosus
Cancer, excluding pre-cancer conditions or in-situ status
Cardiovascular disorders limited to:
Cardiac arrhythmias
Coronary artery disease
Peripheral vascular disease
Chronic venous thromboemolic disorder
Chronic heart failure
Dementia
Diabetes mellitus
End-stage liver disease
End-stage renal disease (ESRD) requiring dialysis
Severe hematologic disorders limited to:
Apastic aneima
Hemophilia
Immune thrombocytopenic purpura
Myelodysplatic syndrome

Sickle-cell disease (excluding sickle-cell trait)

HIV/AIDS
Chronic lung disorders limited to
Asthma
Chronic bronchitis
Emphysema
Pulmonary fibrosis
Pulmonary hypertension
Chronic and disabling mental health conditions limited to:
Bipolar disorders
Major depressive disorders
Paranoid disorder
Schizophrenia
Schizoaffective disorder
Neurologic disorders limited to
Amyotrophic lateral sclerosis (ALS)
Epilepsy
Extensive paralysis (i.e., hemiplegia, quadriplegia, paraplegia, monoplegia)
Huntington’s disease
Multiple sclerosis
Parkinson’s disease
Polyneuropathy
Spinal stenosis
Stroke-related neurologic deficit
Stroke