A D-SNP provider directory that fits dual-eligible members.
D-SNP members are covered by Medicare and Medicaid at once, often with real social and clinical complexity. Your directory, member search, and adequacy filing should reflect that — and run in the same workspace as the rest of your Medicare Advantage line.
Same CMS mandates, a harder member to serve.
A D-SNP carries every Medicare Advantage obligation — an accurate directory, the FHIR provider-directory API CMS now requires, and an annual network-adequacy filing — and adds the Medicaid dimension on top. The members who most need a directory that works are the ones a generic provider-search tool serves worst: dual-eligible, limited-English-proficient, transportation-constrained, managing multiple conditions. The fix isn't a separate system. It's the same platform, with the dual-eligible context built into search, scoring, and the filing.
Built for who actually uses the directory.
Dual-eligible filters built in
Members filter by Medicaid acceptance, Low-Income Subsidy, and the access details that matter when you're covered by two programs — not just specialty and distance.
Language & access front and center
Spoken languages, interpreter availability, and transportation surface in the result card, because D-SNP members hit those barriers first.
A specialty mix tuned for complex needs
Behavioral health, chronic-care management, and the wraparound services dual-eligible members lean on are weighted into search and adequacy — not buried.
Care pathways that expect Medicaid
Network-adequacy scoring uses care-pathway templates that account for the Medicaid-side services a D-SNP coordinates, so the numbers reflect how these members actually get care.
Run MA and D-SNP from the same data — different filters, different pathways.
Most plans that offer a D-SNP also run general Medicare Advantage. You shouldn't maintain two directories. The same provider data powers both; the D-SNP experience adds the dual-eligible filters and care pathways on top, so a member lands on the right search without you running parallel systems. A multi-state plan already runs both its Medicare Advantage and D-SNP populations on InsureLytix this way — one provider dataset, two member experiences.
- One provider dataset, two member experiences — MA and D-SNP
- Dual-eligible filters and care pathways layered on, not bolted beside
- FHIR Plan-Net API and the network-adequacy filing, from the same numbers
Ready when you are
Bring this to your D-SNP.
A multi-state plan already runs MA and D-SNP together on this. A new white-labeled tenant goes live in about a week once your provider data is ready.