Special Needs Plans (SNPs) are either HMO or PPO plans which means all plans, regardless of type, include a contracted network of providers. - ANSWER True
With specific goals and objectives for the population it serve
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Special Needs Plans (SNPs) are either HMO or PPO plans which means all plans, regardless of type, include a contracted network of providers. - ANSWER True
With specific goals and objectives for the population it serves, each SNP is required to develop a: - ANSWER Model of Care
Which of the following are the types of Special Needs Plans (SNPs)? - ANSWER Dual, Chronic, Institutional
In order to qualify to enroll in a DSNP, beneficiaries must be entitled to: - ANSWER Both A and B above
The Dual/LIS Special Election Period (SEP) is available one time-per-calendar-quarter during the first nine months of the year (January-March / April-June / July-September). - ANSWER True
The SNP Model of Care (MOC) includes all but which of the following: - ANSWER Provider Network Requirements
The Open Enrollment Period (Institutional), or OEPI, is continuous for eligible beneficiaries. - ANSWER True
Chronic SNPs (CSNPs) must reconfirm a beneficiary's eligibility: - ANSWER At least annually
The SEP for Enrollment into a Chronic Care SNP will apply as long as: - ANSWER The individual has the qualifying condition, and ends once enrolled in a CSNP
States generally do not determine Medicaid eligibility criteria. - ANSWER False
Institutional Special Needs Plans (ISNPs) restrict enrollment to eligible individuals who, for 90 days or longer, have had or are expected to require an institutional level of care, or an institutional equivalent level of care. - ANSWER True
Special Needs Plans are intended to provide targeted care to beneficiaries with special needs. A "special needs individual" is eligible for Medicare Parts A and B, and: - ANSWER Any of the qualifications listed in answers A, B, or C
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