2024 Dual & Chronic Condition Special Needs Plans (D-SNPC-SNP) Assessment. verified to pass

2024 Dual & Chronic Condition Special Needs Plans (D-SNPC-SNP) Assessment.Dual Special Needs Plans (D-SNP) are defined as: - correct answer Medicare Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid. Meredith, a D-SNP member, loses Medicaid eligibility. What impact does this have on her D-SNP enrollment? - correct answer She 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. A D-SNP might be in the best interest of which of these consumers? - correct answer Joe, whose low income qualifies him for full Medicaid coverage What program is available to support members of a C-SNP and D-SNP who may have unique health care needs? - correct answer A care management program that varies depending upon the level of the member's health risk. Select the statement that best describes a feature of D-SNPs. - correct answer D-SNPs are network-based 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 answer Selling DSNPs In general, consumers with Medicare and Medicaid, collectively known as Full Duals, are good candidates for which plan type(s)? - correct answer Dual Special Needs Plan A C-SNP may be most appropriate for: - correct answer Consumers who have a qualifying chronic condition, are focused on their health issues, and may have concerns with having to manage their illness or dealing with multiple providers