Ginny just enrolled in a C-SNP that uses the post-enrollment verification method. When will the plan send her an initial notice of termination if it has not yet been able to verify a qualifying chronic condition?

• A. At the end of her first month of enrollment
• B. Immediately after enrollment
• C. After six months
• D. Never

Answer: (A)

The main idea here is how post-enrollment verification works for a C-SNP. When a member enrolls, the plan must verify that the member has a qualifying chronic condition. If that verification hasn’t been completed by the end of the first month, the plan issues an initial termination notice at that time. This timing provides a defined window to gather and review necessary information while quickly informing the member about potential loss of SNP benefits if verification remains incomplete. Sending a notice immediately after enrollment wouldn’t give any verification time, and waiting longer (like six months) would delay action beyond the intended process. If verification can’t be completed, the termination notice follows the end of that first month, and the member may have an opportunity to supply additional documentation.