SNBC Enrollment & Plan Changes
How to enroll in, change, or disenroll from a Special Needs Basic Care plan, including effective dates and what changes mid-year.
Enrollment, Changes & Timing
How do I enroll in, change, or leave an SNBC plan?
Purpose
Use when someone wants to enroll, disenroll, change plans, or asks about timing.
Q & A
Q: How do I enroll in or change a non-integrated SNBC plan?
A:
Use the SNBC Choice Form (online, mail, or fax) to enroll, disenroll, or opt out of SNBC NI.
Q: How do I enroll in an integrated SNBC plan?
A:
Warm transfer the person to their chosen I-SNBC health plan or instruct them to call the plan directly.
Q: How do I disenroll from an integrated SNBC plan?
A:
Warm transfer the person to their I-SNBC plan for disenrollment, or transfer to MAP to enroll in a Part D plan, which disenrolls them from SNBC and returns them to FFS.
Q: What signature or confirmation is required for the SNBC Choice Form?
A:
The person or their Authorized Representative must sign.
A confirmation appears after online submission.
Q: Where do people mail or fax the SNBC Choice Form?
A:
- Mail: MN Dept of Human Services, Managed Care Enrollment, PO Box 64838, St. Paul, MN 55164-0838
- Fax: 651-431-7464
Q: What is the capitation (cutoff) date for managed care changes?
A:
The capitation date is six working days from the last working day of the month.
Changes must be made by that date to take effect the following month.
Q: How often can SNBC plan changes be made?
A:
- SNBC NI: Monthly via the SNBC Choice Form
- I-SNBC: Monthly through the health plan
Q: What if an SNBC Choice Form is submitted on capitation day?
A:
Forms submitted on capitation day may not be processed in time for the next month’s effective date.
Special situation: MA ended but Medicare still shows I-SNBC or MSHO active
Q: MN-ITS shows my MA ended, but the pharmacy says my I-SNBC or MSHO plan is still active. How can that be?
A:
This can happen when a person is in a Medicare grace period.
A Medicare grace period applies only when a person leaves an Integrated SNBC or MSHO plan because their MA ends.
During this time:
- MN-ITS and MMIS may show MA and SNBC ended
- Medicare may still show the integrated plan as active
Medicare is the source of truth during this transition.
Q: What should staff do to verify whether this is a grace period?
A:
- Check MN-ITS to confirm MA or SNBC ended
- Start a BLU chat to confirm:
- End date of MA or SNBC
- Disenrollment reason
- If the reason is EE, a grace period may apply
- If the pharmacy still sees active coverage, start a MAP chat to verify Medicare status
Q: What if Medicare shows the plan active but the pharmacy says claims are rejecting as terminated?
A:
Escalate to MAP and include:
- Confirmation Medicare shows the plan as active
- Pharmacy report that claims are rejecting as terminated
Staff Quick Steps (Optional)
- Review MNITS and BLU
- Confirm plan type (integrated vs non-integrated)
- Review capitation timing
- Complete warm transfers when appropriate
Referrals & Resources
- SNBC Choice Form
- SNBC Plan Directory (DHS)
- SNBC Health Plan Choices by County map
- MAP
See also:
- What is SNBC and am I eligible?
- I missed spenddown payments and my SNBC ended — how do I get back in?
Tags & Metadata
Parent Category: Health Care
Subcategory: Managed Care
Labels (3–6):
- SNBC Enrollment
- SNBC Choice Form
- Plan Changes
- Disenrollment
- Capitation Date
Alternate Search Phrases (5–10):
- enroll in SNBC
- change SNBC plan
- SNBC choice form
- leave SNBC
- SNBC disenrollment
- SNBC capitation date
- integrated SNBC enrollment
- MA ended but SNBC active
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