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Blueprint
D-SNP

D-SNP networks live at the intersection of Medicare and Medicaid. Blueprint handles both.

Dual eligible special needs plans have network requirements that span CMS MA standards and state Medicaid contracts simultaneously. Blueprint is the only network CRM built to score D-SNP adequacy against both rule sets at once.

The Challenge

Why D-SNP builds are different

1

Two rule sets, one network

D-SNP networks must satisfy both CMS MA standards and state Medicaid integrated care requirements at the same time.

2

Dual-eligible populations require a specific provider mix

Behavioral health, LTC, and community-based services are required but hard to find and contract.

3

ICA requirements add a contracting layer

Integrated Care Agreement requirements with state Medicaid agencies can't be tracked in a generic CRM.

The Solution

How Blueprint handles D-SNP

Dual scoring engine

Blueprint scores your network against CMS MA standards AND state Medicaid D-SNP requirements simultaneously.

ICA tracking

Track Integrated Care Agreement status with state Medicaid agencies as a separate workflow layer alongside contracting.

Specialized provider targeting

Blueprint surfaces the behavioral health, LTC, and community-based service providers required for D-SNP adequacy.

Purpose-built

Features built for D-SNP

  • Simultaneous CMS MA + state Medicaid scoring
  • ICA status tracking
  • Behavioral health adequacy by county
  • LTC provider tracking
  • Community-based services mapping

Live adequacy score

Overall score94%
Specialty coverage88%
Geographic coverage100%

Updated in real time as providers are added

Regulatory context

D-SNP Adequacy Standards — dual scoring in Blueprint

D-SNP plans must satisfy both CMS MA network adequacy standards (HSD thresholds) and state Medicaid Integrated Care Agreement requirements. Blueprint scores your network against both rule sets simultaneously — so you're not running two separate analyses and hoping they agree.

See how Blueprint handles your LOB

Customer story

Blueprint gave us visibility we didn't have before. For our D-SNP expansion, we could see both MA and Medicaid gaps on the same screen for the first time.

Jennifer R., VP of Network Development, Sunrise Health Plan (D-SNP expansion)

FAQ

Common questions

Ready to build?

See Blueprint on your D-SNP build.

Schedule a 30-minute demo and we'll walk through Blueprint on a real network build for your state and line of business.