Chronic Condition And
Dual Special Needs Plans
(CSNP-DSNP) Test
2025/2026: Latest Quiz
With 100% Correct
Answers
Which service will a CSNP or DSNP member in the high risk care management category receive? -
ANSWERCase Management (telephonic, digital and/or face-to-face) according to individual needs
, Which statement is true about physician information on the Chronic Condition Verification Form? -
ANSWERThe physician indicated on the form does not have to be contracted with the plan.
Which statement is true about the Medicaid program? - ANSWERIt helps pay medical costs for certain
groups of people with limited income and resources.
Melanie wants to enroll in a DSNP. Which of the following must her agent do? - ANSWERConfirm that
Melanie is entitled to Medicare Part A, enrolled in Part B, and her Medicaid level
Which is a service provided to a CSNP or DSNP member placed in the low to moderate care
management risk level? - ANSWERWRONG - Ongoing reassessment of risk level for status changes
How long do plans using the CSNP pre-enrollment verification process have to verify the qualifying
chronic condition until they must deny the enrollment request? - ANSWERWithin 21 days of the request
for additional information or the end of the month in which the enrollment request is made (whichever
is longer).
Meredith, a DSNP member, loses Medicaid eligibility. What impact does this have on her DSNP
enrollment? - ANSWERShe will enter a grace period during which she is responsible for plan cost
sharing, and she will be disenrolled at the end of the grace period if she does not reestablish Medicaid
eligibility.
Which statement describes the primary characteristic of a consumer who may benefit from a DSNP? -
ANSWERIs enrolled in their state Medicaid program, typically as a Full Dual, with their Medicare cost
sharing paid by the state in which they reside.
What is the purpose of the Chronic Condition Verification form? - ANSWERIt authorizes the plan to
contact the provider identified on the form in order to verify that the consumer has at least one of the
qualifying chronic conditions covered by the CSNP.
Lucille is no longer eligible for her state Medicaid program and has lost her eligibility for the DSNP in
which she is enrolled. What is her responsibility for cost sharing? - ANSWERAll, such as premiums,
deductibles, copayments, and coinsurance
Dual Special Needs Plans
(CSNP-DSNP) Test
2025/2026: Latest Quiz
With 100% Correct
Answers
Which service will a CSNP or DSNP member in the high risk care management category receive? -
ANSWERCase Management (telephonic, digital and/or face-to-face) according to individual needs
, Which statement is true about physician information on the Chronic Condition Verification Form? -
ANSWERThe physician indicated on the form does not have to be contracted with the plan.
Which statement is true about the Medicaid program? - ANSWERIt helps pay medical costs for certain
groups of people with limited income and resources.
Melanie wants to enroll in a DSNP. Which of the following must her agent do? - ANSWERConfirm that
Melanie is entitled to Medicare Part A, enrolled in Part B, and her Medicaid level
Which is a service provided to a CSNP or DSNP member placed in the low to moderate care
management risk level? - ANSWERWRONG - Ongoing reassessment of risk level for status changes
How long do plans using the CSNP pre-enrollment verification process have to verify the qualifying
chronic condition until they must deny the enrollment request? - ANSWERWithin 21 days of the request
for additional information or the end of the month in which the enrollment request is made (whichever
is longer).
Meredith, a DSNP member, loses Medicaid eligibility. What impact does this have on her DSNP
enrollment? - ANSWERShe will enter a grace period during which she is responsible for plan cost
sharing, and she will be disenrolled at the end of the grace period if she does not reestablish Medicaid
eligibility.
Which statement describes the primary characteristic of a consumer who may benefit from a DSNP? -
ANSWERIs enrolled in their state Medicaid program, typically as a Full Dual, with their Medicare cost
sharing paid by the state in which they reside.
What is the purpose of the Chronic Condition Verification form? - ANSWERIt authorizes the plan to
contact the provider identified on the form in order to verify that the consumer has at least one of the
qualifying chronic conditions covered by the CSNP.
Lucille is no longer eligible for her state Medicaid program and has lost her eligibility for the DSNP in
which she is enrolled. What is her responsibility for cost sharing? - ANSWERAll, such as premiums,
deductibles, copayments, and coinsurance
