Possible enumeration values:
| Name | Value | Description |
|---|---|---|
| ContinuingEnrollee |
0 |
Continuing Enrollees (enrolled for more than or equal to 12 months in the base year) uses diagnostic information. |
| NewEnrollee |
1 |
New Enrollees (enrolled for less than 12 months in the base year) uses no diagnostic information. For payment purposes, a new enrollee is a beneficiary who did not have 12 months of Part B eligibility in the data collection year. CMS-HCC new enrollee models are not based on diagnoses, but include factors for different age and sex combinations by Medicaid and the original reason for Medicare entitlement. |
| NewEnrolleeCSNP |
2 |
New Enrollees in Chronic Condition Special Needs Plans (C-SNPs). Special Needs Plans (SNP) members are generally significantly sicker than the median MA Plan members and are in a higher risk pool for the Plan and thus require more healthcare cost. So SNP model was put into place to allocate additional MA Plan dollars from CMS. 2019 CMS-HCC without Count Variables Model Relative Factors for New Enrollees in Chronic Condition Special Needs Plans (C-SNPs). |