AND ANSWERS TESTED PRACTICE
SOLUTION GUARANTEED PASS
●● When does the Special Election Period for Dual/LIS Change in
Status begin for DSNP members that lose Medicaid eligibility?
Answer: The month after they are notified by the plan of the loss of
Medicaid eligibility
●● A DSNP might be in the best interest of which of these consumers?
Answer: Joe, whose low income qualifies him for full Medicaid
coverage
●● Which program is available to support the unique health care needs
of CSNP and DSNP members?
Answer: A care management program that varies depending upon the
level of the member's health risk level
●● Which statement best describes a DSNP?
Answer: The monthly premium is at or below the Low Income Subsidy
benchmark to cover drug costs
●● When selling DSNPs, agents must:
, Answer: Ensure that the consumer only has Medicare
Confirm the consumer's Medicaid level and that the consumer is entitled
to Medicare Part A and enrolled in Part B
●● Which consumer may be a good candidate for a DSNP?
Answer: Anne, who does not pay a percentage of charges when she
receives medical care
●● Which of the following consumers is best suited for a CSNP?
Answer: Mary, who has been seeing a specialist for a qualifying chronic
condition
●● On May 10, Michael meets with an agent and says he is enrolled in
another carrier's CSNP due to his diabetes. When can Michael enroll in a
different CSNP that also covers diabetes (his only chronic condition),
assuming he has not moved out of his current plan's service area?
Answer: During the Annual Election Period (AEP) or Open Enrollment
Period (OEP)
●● Which is a service provided to a CSNP or DSNP member placed in
the low to moderate care management risk level?
Answer: Ongoing reassessment of risk level for status changes
●● What is the purpose of the Chronic Condition Verification form?