A Turning Point in Medicare Policy: Guiding Principles for New Flexibility Under Special Supplemental Benefits for the Chronically Ill

Implementation Tool
July 2019

This resource provides guidelines for implementing Special Supplemental Benefits for the Chronically Ill (SSBCI) in a manner that improves health care for chronically ill Medicare beneficiaries.

  • The 2018 CHRONIC Care Act allows Medicare Advantage plans to pay for services that are not primarily health-related.
  • These changes require new principles to guide implementation in a way that will effectively meet individual needs.
  • The principles outlined in this guide are that SSBCI reflect individual needs; are clear, understandable, equitable, manageable and sustainable; and evolve with continuous learning and improvement.
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Key Questions Answered
  • What changes were introduced in the Chronic Care Act?
  • What principles should guide implementation of new benefits?
Level of Evidence
Expert Opinion
What does this mean?