2023 UHC DSNP/CSNP questions with correct answers

Which statement is true of D-SNP members? - Ans Members who are QMB+ or are Full Dual Eligible are not required to pay copayments for Medicare-covered services obtained from a D-SNP in-network provider. Their provider should bill the state Medicaid program, as appropriate, for these costs. Which service will a C-SNP or D-SNP member in the high risk care management category receive? - Ans Case Management (telephonic, digital and/or face-to-face) according to individual needs 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 C-SNP that covers his chronic condition? - Ans Yes, he can enroll using his SEP (SEP-Special Need/Chronic) Which of the following consumers is best suited for a C-SNP? - Ans Mary, who has been seeing a specialist for a qualifying chronic condition The consumer states they currently pay a percentage of charges when they receive medical care. This means: - Ans The consumer is not likely to be a Full Dual-Eligible and may be better suited for enrollment in another type of plan When does the SEP for Dual/LIS Change in Status begin for D-SNP members that lose Medicaid eligibility? - Ans Upon notification or effective date of the loss, whichever is earlier