2021 United Healthcare Chronic Condition And
Dual Special Needs Plans (CSNP-DSNP) Test
Questions And Answers
Dual Special Needs Plans (DSNP) are defined as which of the following: Correct Answers: Medicare
Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid
Which statement is true about how loss of Medicaid affects a member's enrollment in a DSNP?
Correct Answers: Special Election Period (SEP Dual/LIS Change in Status) is available for DSNP
members that lose their Medicaid eligibility.
Which consumer might benefit the most by enrolling in a DSNP? Correct Answers: Joe, who receives
Qualified Medicaid Beneficiary benefits (QMB+)
What program is available to support CSNP and DSNP members who may have unique health care
needs? Correct Answers: A care management program that varies depending upon the level of the
member's health risk level
Confirming the consumer's Medicaid level and that the consumer is entitled to Medicare Part A and
enrolled in Medicare Part B is a requirement of: Correct Answers: Selling DSNPs
The consumer states they currently pay a percentage of charges when they receive medical care.
This means: Correct Answers: The consumer is not likely to be a Full Dual-Eligible and may be better
suited for enrollment in another type of plan.
Which of the following consumer characteristics demonstrates a good fit for a CSNP? Correct
Answers: A consumer with a qualifying chronic condition who wants a plan that will help them
manage their illness and health care costs
On July 19, each of the following consumers met with an agent. Based on the information provided,
which consumer must wait until the Annual Election Period (AEP) or Open Enrollment Period (OEP)
to enroll? Correct Answers: Joy has a cardiovascular disorder, is enrolled in a CSNP that covers the
condition, and wants to enroll in another CSNP offered by the plan that covers the same condition.
Which service will a CSNP or DSNP member in the high risk care management category receive?
Correct Answers: Case Management (telephonic, digital and/or face-to-face) according to individual
needs
It is very important for consumers enrolling in a CSNP to know the following about accessing
providers: Correct Answers: Some CSNPs are Preferred Provider Organization (PPO) or Point of
Service (POS) Plans that allow members to see out-of-network providers, generally with higher cost
sharing.
Which statement is true about the Medicaid program? Correct Answers: It helps pay medical costs for
certain groups of people with limited income and resources.
Dual Special Needs Plans (CSNP-DSNP) Test
Questions And Answers
Dual Special Needs Plans (DSNP) are defined as which of the following: Correct Answers: Medicare
Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid
Which statement is true about how loss of Medicaid affects a member's enrollment in a DSNP?
Correct Answers: Special Election Period (SEP Dual/LIS Change in Status) is available for DSNP
members that lose their Medicaid eligibility.
Which consumer might benefit the most by enrolling in a DSNP? Correct Answers: Joe, who receives
Qualified Medicaid Beneficiary benefits (QMB+)
What program is available to support CSNP and DSNP members who may have unique health care
needs? Correct Answers: A care management program that varies depending upon the level of the
member's health risk level
Confirming the consumer's Medicaid level and that the consumer is entitled to Medicare Part A and
enrolled in Medicare Part B is a requirement of: Correct Answers: Selling DSNPs
The consumer states they currently pay a percentage of charges when they receive medical care.
This means: Correct Answers: The consumer is not likely to be a Full Dual-Eligible and may be better
suited for enrollment in another type of plan.
Which of the following consumer characteristics demonstrates a good fit for a CSNP? Correct
Answers: A consumer with a qualifying chronic condition who wants a plan that will help them
manage their illness and health care costs
On July 19, each of the following consumers met with an agent. Based on the information provided,
which consumer must wait until the Annual Election Period (AEP) or Open Enrollment Period (OEP)
to enroll? Correct Answers: Joy has a cardiovascular disorder, is enrolled in a CSNP that covers the
condition, and wants to enroll in another CSNP offered by the plan that covers the same condition.
Which service will a CSNP or DSNP member in the high risk care management category receive?
Correct Answers: Case Management (telephonic, digital and/or face-to-face) according to individual
needs
It is very important for consumers enrolling in a CSNP to know the following about accessing
providers: Correct Answers: Some CSNPs are Preferred Provider Organization (PPO) or Point of
Service (POS) Plans that allow members to see out-of-network providers, generally with higher cost
sharing.
Which statement is true about the Medicaid program? Correct Answers: It helps pay medical costs for
certain groups of people with limited income and resources.
