Medicare AdvantageAdministrativeMedium impact
[Virginia] C‑SNP verification required for care providers: confirm conditions to prevent member disenrollment
Anthem BCBS·VA·Provider Bulletin
We identified it
May 3, 2026
Summary
Healthcare providers in Virginia must now verify and confirm chronic conditions for C-SNP (Chronic Condition Special Needs Plans) members to prevent automatic disenrollment from these specialized Medicare Advantage plans.
Action Required
Immediately: Clinical staff must verify and document chronic conditions for all C-SNP members during encounters. Update patient verification processes to include C-SNP condition confirmation. Contact plan to confirm member conditions if documentation is unclear to prevent member disenrollment from specialized coverage.