Dual Eligible and Chronic Condition Plans Assessment -Questions
with Correct Answers/ Verified
D-SNP - ✔✔Dual-Special Needs Plan for eligible individuals.
C-SNP - ✔✔Chronic-Special Needs Plan for chronic conditions.
Care Management Plan - ✔✔Structured approach to managing member health needs.
Initial Health Assessment - ✔✔First evaluation to determine health status.
Individualized Care Plan (ICP) - ✔✔Customized plan tailored to individual health needs.
Ongoing Reassessment - ✔✔Continuous evaluation for changes in risk levels.
Low to Moderate Risk Level - ✔✔Classification for members needing basic care
management.
CMS - ✔✔Centers for Medicare & Medicaid Services, overseeing programs.
C-SNP - ✔✔Chronic Condition Special Needs Plan for eligible consumers.
Chronic Condition Verification - ✔✔Form to verify qualifying chronic conditions for C-SNP.
Consumer Attestation - ✔✔Self-reported confirmation of chronic condition eligibility.
Provider Contact Authorization - ✔✔Plan can verify conditions with identified healthcare
provider.
Claim Data Verification - ✔✔Plan checks consumer's health claims for chronic conditions.
with Correct Answers/ Verified
D-SNP - ✔✔Dual-Special Needs Plan for eligible individuals.
C-SNP - ✔✔Chronic-Special Needs Plan for chronic conditions.
Care Management Plan - ✔✔Structured approach to managing member health needs.
Initial Health Assessment - ✔✔First evaluation to determine health status.
Individualized Care Plan (ICP) - ✔✔Customized plan tailored to individual health needs.
Ongoing Reassessment - ✔✔Continuous evaluation for changes in risk levels.
Low to Moderate Risk Level - ✔✔Classification for members needing basic care
management.
CMS - ✔✔Centers for Medicare & Medicaid Services, overseeing programs.
C-SNP - ✔✔Chronic Condition Special Needs Plan for eligible consumers.
Chronic Condition Verification - ✔✔Form to verify qualifying chronic conditions for C-SNP.
Consumer Attestation - ✔✔Self-reported confirmation of chronic condition eligibility.
Provider Contact Authorization - ✔✔Plan can verify conditions with identified healthcare
provider.
Claim Data Verification - ✔✔Plan checks consumer's health claims for chronic conditions.
