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2022 Chronic Condition And Dual Special Needs Plans (CSNP-DSNP) Test Latest Quiz
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2022 Chronic Condition And Dual Special Needs Plans (CSNP-DSNP) Test Latest Quiz
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2022 Chronic Condition And Dual Special NeedsPlans (CSNP-DSNP) Test Latest Quiz
Dual Special Needs Plans (DSNP) are defined as which of the following: Correct Answer: Medicare
Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid
When does the Special Election Period for Dual/LIS Change in Status begin for DSNP members that
lose Medicaid eligibility? Correct Answer: Upon notification or effective date of the loss, whichever is
earlier
A DSNP might be in the best interest of which of these consumers? Correct Answer: Joe, whose low
income qualifies him for full Medicaid coverage
Which statement best describes a care management program that varies depending upon the level of
the member's health risk? Correct Answer: Support provided to CSNP and DSNP members that may
have unique health care needs
Select the statement that best describes a feature of DSNPs. Correct Answer: NOT ***********A
member can see any participating Medicaid provider
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
The consumer states they currently pay a percentage of charges when they receive medical care.
This means: Correct Answer: The consumer is not likely to be a Full Dual-Eligible and may be better
suited for enrollment in another type of plan.
The following is a characteristic of consumers for whom a CSNP may be most appropriate: 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
John, 68, is currently enrolled in a Medicare Supplement Plan with a stand-alone Prescription Drug
Plan. Newly diagnosed with a chronic condition, he calls agent Charles on May 3 to ask if there are
plans that will help him manage his condition. Can John enroll in a Chronic Special Needs Plan
(CSNP) that covers his chronic condition? Correct Answer: Yes, he can enroll using his Special
Election Period (SEP-Special Need/Chronic)
How is a CSNP or DSNP member's care management health risk levels determined initially? Correct
Answer: The member completes a Health Assessment that asks a series of questions about their
health status and assistance they may need with activities of daily living.
What is the purpose of the Chronic Condition Verification form? Correct Answer: It authorizes the
plan to contact the provider identified on the form in order to verify that the consumer has at least one
of the qualifying chronic conditions covered by the CSNP.
Which statement is true about the Medicaid program? Correct Answer: Benefits vary from state to
state.
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