Medicare AdvantageAdministrativeMedium impact
[California] C‑SNP verification required for care providers: confirm conditions to prevent member disenrollment
Anthem BCBS·CA·Provider Bulletin
We identified it
May 3, 2026
Summary
California providers must verify and confirm chronic conditions for C-SNP (Chronic Condition Special Needs Plan) members to prevent their disenrollment from the plan. This requires active provider participation in maintaining member eligibility.
Action Required
Immediately: Providers must verify chronic conditions for all C-SNP members during encounters and confirm conditions as required by Anthem to prevent member disenrollment. Contact member services or check provider portal for specific verification requirements and submission processes. Failure to verify conditions may result in patient losing specialized plan benefits.