Medicare AdvantageCoverageMedium impact
Reminder: HIDE-SNP members may qualify for Long-Term Services and Support
Priority Health·Geriatrics, Palliative Care·Provider News
We identified it
Jul 21, 2026
Summary
Priority Health is reminding providers that HIDE-SNP (Highly Integrated Dual Eligible Special Needs Plan) members may qualify for Long-Term Services and Supports (LTSS) through Carallel, including assistance with daily activities, household support, and nursing facility care. Providers should refer eligible members directly to their Care Manager or call the customer service line at 833.939.0983 to initiate LTSS referrals.
Action Required
Immediately: Billing and clinical staff should become familiar with LTSS eligibility criteria for HIDE-SNP members and the referral process. Update provider resources and staff communication to include the Carallel LTSS program details. Ensure front desk and clinical staff know to contact Care Managers or call 833.939.0983 (Mon-Fri 8am-8pm, Sat 8am-noon Apr-Sept; daily 8am-8pm Oct-Mar ET) when a HIDE-SNP member may qualify for LTSS based on level-of-care assessment. This affects patient care coordination and potential billing for referred services, so document all LTSS referrals appropriately in the patient record.