Plan Type
This plan type is designed for medical benefits only.
What is a Medicare Advantage Plan?
(MA Only)
This system is used to look up the provider information to confirm chronic verification.
What is Quick Base?
A member enrolls into a plan and is effective on this date.
What is the first of the following month?
MAPD
Medicare Advantage Prescription Drug
This type of plan is designed provides prescription coverage only.
What is a PDP (Prescription Drug Plan)?
This is the system used to make outreach.
What is Genesys?
This letter is sent to a CSNP member on the 7th day of the second month of enrollment.
Exhibit 32: Model Notice for Loss of Special Needs Status
CSNP
Chronic Special Needs Plan
This type of plan is designed for beneficiaries who need medical and prescription coverage.
What is a Medicare Advantage Prescription Drug plan (MAPD).
This system is used to document a call for the entire organization to view.
What is Healthsoft?
A CSNP member will be disenrolled on this day if not verified.
What is the end of the second month of enrollment?
PDP
Prescription Drug Plan
This plan is designed for beneficiaries who have a chronic condition.
What is a Chronic Special Needs Plan (CSNP).
This system can provide additional provider information.
What is Healthsoft and Voyager?
This letter is sent on the 20th of the second month of enrollment into a CSNP if a member is not verified.
What is Exhibit 33: Model Notice for Loss of SNP Status - Notification of Involuntary Disenrollment?
PCP
Primary Care Physician
This Medicare Advantage plan provides specialized healthcare services to people who need long-term care.
What is an Institutional Special Needs Plan (ISNP)?
This system is used to verify eligibility.
What is Voyager?
A CSNP plan has this long to confirm chronic condition.
What is two months?
CMS
Centers for Medicare and Medicaid Services