What type of management service is provided to C-SNP or D-SNP members in the high risk care management category?

Case management based on individual needs is a crucial component of services provided to C-SNP (Chronic Condition Special Needs Plans) or D-SNP (Dual Eligible Special Needs Plans) members within the high-risk care management category. This approach tailors care to meet the unique medical, behavioral, and social needs of individuals who may have multiple chronic conditions or require specialized support due to being dually eligible for Medicare and Medicaid.

By focusing on individual needs, case management ensures that members receive coordinated care that addresses their specific health challenges. This personalized approach enhances the effectiveness of interventions, improves health outcomes, and promotes the overall well-being of high-risk individuals. The case management process typically involves assessing the member's current health status, developing a care plan involving a multidisciplinary team, and providing ongoing support to help the member manage their health.

In contrast, the other options do not fully align with the comprehensive and individualized nature of care management services designed for high-risk members. Group therapy sessions are valuable but do not provide the individualized attention necessary in high-risk scenarios. Psychiatric assessments are typically part of the broader assessment but are not the primary service focus for overall care management. Routine check-ups, while important for preventative care, do not address the complex needs associated with managing chronic