For Chronic Special Needs Plan enrollment, what is true about the provider named on the verification form?

• A. Does not have to be contracted with the plan
• B. Must be in-network
• C. Must be a plan-employed clinician
• D. Must be contracted with the plan

Answer: (A)

In Chronic Special Needs Plan enrollment, who you name on the verification form isn't tied to network contracts. The key idea is that enrollment and care coordination can proceed even if that provider isn’t contracted with the plan. This flexibility helps ensure continuity of care for someone with chronic conditions, allowing a trusted clinician to be involved from the start.

If the provider isn’t contracted, billing and payment terms may differ (out-of-network considerations apply), and contracting could be pursued later. The important point is that the verification step does not require the provider to be contracted with the plan.