A first-time D-SNP builder
First D-SNP build, with NCD requirements built in
Illustrative scenario based on a common network-build situation — not an actual customer. Blueprint is a new product.
Executive Summary
Consider a plan launching its first Dual Eligible Special Needs Plan in Ohio — a LOB with distinct NCD-aligned specialty requirements and CMS model of care documentation that a Medicare Advantage team has never navigated. Blueprint's D-SNP-specific configuration applies Ohio's dual-eligible provider type requirements automatically, flags NCD specialty gaps the team hadn't anticipated, and structures the documentation needed for the CMS model of care review.
The Challenge
- 1
A first D-SNP build means navigating NCD-aligned specialty requirements and dual-eligible network standards that MA experience never covered.
- 2
NCD specialty categories are often poorly mapped in existing provider data, making it hard to know which providers actually meet D-SNP requirements.
- 3
CMS model of care review requires documentation of care coordination network standards the team has no prior process for producing.
The Solution
Blueprint's D-SNP configuration auto-applies NCD specialty categories and dual-eligible provider type requirements specific to Ohio.
Provider records are remapped against NCD specialty definitions — surfacing contracted providers that don't actually count toward D-SNP adequacy.
Blueprint's adequacy scoring surfaces exactly which NCD categories have gaps, giving the team a prioritized recruitment list well before submission.
Key Results
Auto-loaded
Ohio NCD specialty requirements
Remapped
Providers to correct NCD categories
Early
Gap visibility before deadline
“Without an NCD-aware tool, it's easy to assume providers count toward D-SNP adequacy when they don't. Blueprint maps them — turning a hidden gap into an early, fixable one.”
Build Timeline
How the build unfolded
D-SNP workspace configured; Ohio NCD requirements loaded automatically
Contracted providers remapped against NCD categories — gaps identified
Targeted outreach to NCD-eligible behavioral health and LTSS providers
NCD category gaps filled; care coordination documentation started
Submit to CMS with model of care documentation structured and complete
Ready to see results?
Your build could look like this.
Schedule a 30-minute demo and we'll walk through Blueprint on a real network build for your state and LOB.