Exam (elaborations)
2022 Chronic Condition and Dual Special Needs Plans (CSNP-DSNP) Test
- Course
- Institution
2022 Chronic Condition and Dual Special Needs Plans (CSNP-DSNP) Test
[Show more]
Content preview
2022 Chronic Condition and Dual Special Needs Plans (CSNP-DSNP) TestDual Special Needs Plans (DSNP) are defined as which of the following: Correct Ans
➡ 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 Ans ➡ 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 Ans ➡
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 Ans ➡ 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 Ans ➡
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 Ans
➡ Selling DSNPs
The consumer states they currently pay a percentage of charges when they receive
medical care. This means: Correct Ans ➡ 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 Ans ➡ 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 Ans ➡ 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 Ans ➡ 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.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Studycafe. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79373 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now