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2017 Chronic Condition and Dual Special Needs Plans 1. Welcome

1.2 Welcome/Learning Objectives

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1.3 Certification Requirements

2. SNP Common Features 2.1 SNP Overview

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Who? (Slide Layer)

What? (Slide Layer)

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When? (Slide Layer)

2.2 SNP Key Features

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Networks (Slide Layer)

Drug Coverage (Slide Layer)

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Who Pays What? (Slide Layer)

2.3 Care Management

2.4 Health Risk Assessment

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Low-Moderate Risk (Slide Layer)

High Risk (Slide Layer)

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2.5 HouseCalls

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2.6 Checkpoint (Matching Drop-down, 0 points, unlimited attempts permitted)

Feedback when correct:

That's right! You selected the correct responses.

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3. DSNP Overview 3.1 Medicaid Overview

Medicaid 101 (Slide Layer)

Why Is It Important To Understand Medicaid (Slide Layer)

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3.2 Medicare Savings Program

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3.3 Full Dual-Eligible

3.4 Partial Dual-Eligible

Notes:

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3.5 Dual-Eligible Categories

3.6 Spend Down Explained

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3.7 Medicaid Eligibility

Consumer Must (Slide Layer)

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Dual Status (Slide Layer)

3.8 Consumer Characteristics

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Prescription medicine help (Slide Layer)

Community Services (Slide Layer)

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Low Income (Slide Layer)

State medical assistance (Slide Layer)

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Disabled (Slide Layer)

3.9 Special Election Periods

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3.10 Medicaid Eligibility Verification

3.11 Loss of Medicaid Eligibility

3.12 Cost Sharing - Premiums

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3.13 Cost Sharing

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3.14 Checkpoint (Drag and Drop, 10 points, unlimited attempts permitted)

Feedback when correct:

That's right! You matched all the terms correctly.

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4. DSNP Case Study 4.1 Case Study

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4.2 Case Study Conversation

4.3 Case Study Questions Q1 Correct (Slide Layer)

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Q1 Incorrect (Slide Layer)

Q2 Correct (Slide Layer)

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Q2 Incorrect (Slide Layer)

Q3 Correct (Slide Layer)

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Q3 Incorrect (Slide Layer)

Q4 Correct (Slide Layer)

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Q4 Incorrect (Slide Layer)

Q5 Correct (Slide Layer)

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Q5 Incorrect (Slide Layer)

Q6 Correct (Slide Layer)

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Q6 Incorrect (Slide Layer)

5. CSNP Overview 5.1 Consumer Characteristics

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Want To Reduce (Slide Layer)

Multiple Providers (Slide Layer)

Will Benefit Costs (Slide Layer)

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Benefit Management (Slide Layer)

5.2 Special Election Periods

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5.3 In-Network Providers

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5.4 Chronic Condition Verification Process

5.5 Chronic Condition Verification Process Tips

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Consumer Assistance (Slide Layer)

Agent Responsibilities (Slide Layer)

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5.6 Checkpoint Q1 Correct (Slide Layer)

Q2 Correct (Slide Layer)

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Q3 Correct (Slide Layer)

Q4 Correct (Slide Layer)

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Q5 Correct (Slide Layer)

6. CSNP Case Study 6.1 Case Study Conversation

Notes:

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6.2 Case Study Question (Multiple Choice, 10 points, 1 attempt permitted)

7. Wrap Up 7.1 Wrap Up

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8. Resources 8.1 Resources

9. Navigation 9.1 Navigation