The Chronic Condition Verification form/ questionnaire authorizes the plan to do what?

• A. It authorizes the plan to contact the provider identified on the form/questionnaire in order to verify that the consumer has at least one of the qualifying chronic conditions covered by the C-SNP.
• B. It authorizes the plan to enroll the consumer in a D-SNP automatically.
• C. It authorizes the plan to cancel enrollment.
• D. It authorizes the plan to bill the provider.

Answer: (A)

The key idea is confirming eligibility for a Chronic Condition SNP by verifying that the member truly has a qualifying chronic condition. The Chronic Condition Verification form is used so the plan can contact the provider named on the form to obtain confirmation that the consumer has at least one qualifying chronic condition covered by the C-SNP. This verification helps ensure only eligible individuals are enrolled and keeps enrollment accurate and compliant with CMS rules. It’s not about automatically enrolling someone in a D-SNP, canceling enrollment, or billing the provider—the form’s purpose is to verify the condition(s) so eligibility is established.