Anthem BCBSMedium ImpactAdministrative
[California] C‑SNP verification required for care providers: confirm conditions to prevent member disenrollment
Published May 3, 2026
AI 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.
Plan Types
Medicare Advantage
States
CA
Specialties
all-specialties