Dual Eligible Special Needs Plans (D-SNPs) enroll individuals who are entitled to both Medicare (title XVIII) and medical assistance from a state plan under Medicaid (title XIX). States cover some Medicare costs, depending on the state and the individual's eligibility. How is a CSNP or DSNP member's care management health risk levels determined initially? The member completes a Health Assessment that asks a series of questions about their health status and assistance they may need with activities of daily living
