Medicare AdvantageAdministrativeMedium impact
[Georgia] C‑SNP verification required for care providers: confirm conditions to prevent member disenrollment
Anthem BCBS·GA · Cardiology, Endocrinology, Nephrology +4 more·Provider Bulletin
Effective date
Apr 22, 2026
We identified it
May 3, 2026
Summary
Anthem Blue Cross Blue Shield (Georgia) requires care providers to verify members' qualifying chronic conditions for C-SNP (Chronic Special Needs Plan) enrollment to prevent member disenrollment. Providers must respond to verification requests via phone or fax within 5 calendar days. This is a separate process from SSBCI attestation and cannot be completed through Availity.
Action Required
Within 5 calendar days of receiving contact: Clinical and administrative staff must respond to Anthem's verbal confirmation requests or complete and return faxed C-SNP Verification Forms to the Membership Department at the fax number provided on the form. Front desk staff should flag incoming fax requests for C-SNP verification and route to clinical staff immediately to meet the 5-day deadline. Ensure providers understand that failure to submit timely verification will result in member disenrollment effective at the end of the second month. Train all clinical staff on qualifying conditions (CHF, cardiovascular disease, diabetes, chronic lung disorder, CKD stages 1-5) and confirm this process is distinct from SSBCI attestation.