D-SNP/C-SNP Enrolment Verification Process/Assessment for
Consumers/Requirements-Questions with Correct Answers/
Verified
C-SNP - ✔✔Chronic Condition Special Needs Plans for eligible individuals.
Pre-enrollment verification - ✔✔Process to confirm eligibility before enrollment approval.
Enrollment request - ✔✔Application for joining a C-SNP program.
Verification deadline - ✔✔End of month for verifying enrollment requests.
Additional information request - ✔✔Request for more details to complete verification.
21-day verification rule - ✔✔Longest timeframe for verifying additional information.
7-day response rule - ✔✔Timeframe to respond to additional information requests.
Assessment for Consumers
D-SNP - ✔✔Dual Eligible Special Needs Plan for eligible consumers.
Full Dual-Eligible - ✔✔Individuals eligible for both Medicare and Medicaid.
Medicare Supplement Insurance Plan - ✔✔Insurance that covers costs not covered by
Medicare.
Enrollment Suitability - ✔✔Determining the best plan based on consumer needs.
Consumer Payment Structure - ✔✔Percentage of charges paid for medical care received.
Consumers/Requirements-Questions with Correct Answers/
Verified
C-SNP - ✔✔Chronic Condition Special Needs Plans for eligible individuals.
Pre-enrollment verification - ✔✔Process to confirm eligibility before enrollment approval.
Enrollment request - ✔✔Application for joining a C-SNP program.
Verification deadline - ✔✔End of month for verifying enrollment requests.
Additional information request - ✔✔Request for more details to complete verification.
21-day verification rule - ✔✔Longest timeframe for verifying additional information.
7-day response rule - ✔✔Timeframe to respond to additional information requests.
Assessment for Consumers
D-SNP - ✔✔Dual Eligible Special Needs Plan for eligible consumers.
Full Dual-Eligible - ✔✔Individuals eligible for both Medicare and Medicaid.
Medicare Supplement Insurance Plan - ✔✔Insurance that covers costs not covered by
Medicare.
Enrollment Suitability - ✔✔Determining the best plan based on consumer needs.
Consumer Payment Structure - ✔✔Percentage of charges paid for medical care received.
