What eligibility confirmation must Chronic SNPs (CSNPs) perform?

Chronic Special Needs Plans (CSNPs) are required to perform eligibility confirmations at least annually to ensure they are serving members with the specific chronic conditions the plans are designed to address. This annual confirmation process allows the plan to verify that existing members continue to meet the criteria associated with their chronic conditions and to reassess any changes in their health status.

The reason for this requirement is to ensure that the plans can effectively tailor their services, benefits, and care management activities to the needs of their members. By confirming eligibility annually, CSNPs can maintain the integrity of the enrollment process and ensure that they are providing appropriate care and resources to those who qualify.

This annual review not only helps sustain compliance with CMS regulations but also reinforces the plan's commitment to providing specialized care for chronic conditions, ultimately leading to better health outcomes for members.