Medicare AdvantageAdministrativeHigh impact
[Georgia] C‑SNP verification required for care providers: confirm conditions to prevent member disenrollment
Anthem BCBS·GA·Provider Bulletin
We identified it
May 3, 2026
Summary
Healthcare providers in Georgia must now verify and confirm chronic conditions for C-SNP (Chronic Condition Special Needs Plan) members to prevent their disenrollment from these specialized Medicare Advantage plans. This verification process is critical for maintaining patient coverage continuity.
Action Required
Immediately: All providers must implement a verification process to confirm chronic conditions for C-SNP members. Review current C-SNP patient roster and document qualifying chronic conditions in medical records. Establish workflow to regularly verify conditions during patient encounters to prevent member disenrollment. Contact Anthem Georgia for specific verification requirements and submission processes.