South Country Health Alliance
Special Needs BasicCare (SNBC)
2300 Park Dr, Ste 100, Owatonna, MN, 55060-8802
Distance: 1118 Miles
Special Needs BasicCare (SNBC) is a voluntary managed care program for people with disabilities ages 18 through 64 who have Medical Assistance (MA). Enrollees may have a care coordinator or navigator to help them get health care services.
The Minnesota Department of Human Services (DHS) works with health care companies to offer the program. The plan covers primary, behavioral health, dental, and specialty care.
People can be in a Special Needs BasicCare (SNBC) plan and still get the following services on a fee-for-service basis:
* Personal Care Assistance (PCA)
* Home and Community Based Waiver Services
* Home Care Nursing (HCN)
The 2019 plan names are:
* SingleCare - Non dual, Medicaid-only product (people who do not have Medicare)
* SharedCare - Dual non integrated Medical Assistance (MA) product
Covered Drug List (Formulary) can be found online - Make sure to select the correct plan name from the options list, as the formularies may differ.
* Search for a Pharmacy - Make sure to select the correct plan name
* Find a Provider
- Medicaid (Medical Assistance)
- Adults with disabilities
Who can enroll:
* Adults ages 18 through 64 who are on:
- Medical Assistance (MA) or Medical Assistance for Employed Persons with Disabilities (MA-EPD)
- Certified as disabled by the Social Security Administration, State Medical Review Team (SMRT) or eligible for Developmental Disability waiver services as decided by the county
Participants must have Medical Assistance (MA) and either no Medicare, or both Medicare Parts A and B.
Who cannot enroll:
* People who are in a Regional Treatment Center (RTC)
* People who are eligible for MA because they get services as victims of torture
* People on the Emergency Medical Assistance (EMA) program
Information for people with spenddowns:
* People with a medical spenddown cannot enroll in SNBC.
* People with SNBC who get a medical spenddown after enrollment can stay in their plan.
- They pay the medical spenddown to DHS.
* People with an institutional spenddown are eligible to enroll in SNBC.
- They still pay the institutional spenddown to their facility.
- More information
Eligible people can choose to:
* Enroll at any time
* Not enroll (opt out) and stay in fee-for-service MA or families and children managed health care programs
* Disenroll and return to fee-for service MA or families and children managed health care programs starting at the end of the month
Eligible people will get an enrollment package with a plan choice form in the mail.
* Do nothing and let DHS pick a plan for them
- If there is more than one plan offered in the county, they mark a choice of plan and send the form in the return envelope
* Opt out by signing and sending in the opt out letter
The letter will show the last day to enroll or opt out. Automatic enrollment happens if nothing is heard by the deadline.
Enrollees can choose to change their plan or disenroll for the next available month.
People who have opted out in the past may contact their county or tribe to enroll in a plan.
The Disability Hub MN can help people to understand their options, compare plans, enroll or opt out. They can also help to disenroll (get out of a plan) or to change plans. Call them at: (866) 333-2466
There is no fee to join a plan. People who have Medical Assistance for Employed Persons with Disabilities (MA-EPD) must continue to pay their monthly premium.
* Participants have no copays for MA-covered medications or services
* Participants will continue to pay copays for Medicare Drug Plan (Part D) covered drugs
8:00am - 8:00pm, Monday - Sunday
* October - March
8:00am - 8:00pm, Monday - Friday
* April - September
Brown, Dodge, Freeborn, Goodhue, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena and Waseca
|Toll Free - Sales and Service||(866) 567-7242|
This provider does not offer this service at other locations.
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NL-5000.5000-770State Medicaid Managed Care Enrollment Programs Definition
State programs (or private vendors under contract with the state) that enroll Medicaid recipients in a Medicaid managed care program that coordinates the provision, quality and cost of care for its enrolled members. Recipients may have a designated amount of time to choose a managed care option following eligibility determination; and once enrolled, select a primary care practitioner from the plan's network of professionals and hospitals who will be responsible for coordinating their health care and referring them to specialists or other health care providers as necessary. In some situations, where acute and primary care are not integrated into the selected option, people may work with a multidisciplinary team of professionals to support service plan development and implementation. Enrollment in a managed care plan may be voluntary or mandatory for some or all Medicaid recipients in a state. Participation requirements and associated criteria vary from state to state and in some cases, from area to area within the same state. States often make exceptions to their mandatory enrollment requirements for certain individuals and groups, e.g., people with disabilities or identified health conditions, who may be served outside the state's managed care delivery system. These individuals may enroll in a managed care program but are not required to do so. States may also identify a range of Medicaid eligibility groups who are excluded from participating in their managed care programs. Also included are other programs that help people prepare and file State Medicaid Managed Care enrollment applications.
NL-5000.5000-775State Medicaid Managed Care Insurance Carriers Definition
Private insurance companies that issue managed care policies to people who qualify under Medicaid, generally on the basis of a contractual arrangement with the state. Enrollment in a managed care plan may be voluntary or mandatory for some or all Medicaid recipients in a state; and participation requirements and associated criteria vary from state to state and in some cases, from area to area within the same state. Benefits covered by Medicaid vary by jurisdiction but generally include hospitalization, physician services, emergency room visits, family planning, immunizations, laboratory and x-ray services, outpatient surgery, chiropractic care, prescriptions, eye exams, eye glasses and dental care. Other covered services may include alcohol and drug treatment, mental health services, medical equipment and supplies and rehabilitative therapy. Medical benefits are administered by the insurance companies under terms of their contract.
YB-9000Young Adults Definition
Individuals who are generally between the ages of 18 and 25 depending on the ages that specific programs use for qualification.
YC-5000Medicaid Recipients Definition
Low-income individuals who are receiving comprehensive medical benefits through the federal Medicaid program administered by the county or the state.