When enrolling Dual Eligible Special Needs Plan (D-SNP) and Chronic Condition Special Needs Plan (C-SNP) members, what best practice should you follow regarding primary care providers?

When enrolling members in Dual Eligible Special Needs Plans (D-SNP) and Chronic Condition Special Needs Plans (C-SNP), it is essential to prioritize their connection to an in-network primary care provider (PCP) if they are not already linked with one. This best practice is grounded in the understanding that having a consistent and accessible primary care source is crucial for managing health, especially for individuals with chronic conditions or those who are dual eligible.

Encouraging and assisting members in finding an in-network doctor helps ensure that they receive appropriate, timely, and coordinated care, which can significantly impact their health outcomes. It also facilitates easier access to preventive services, routine check-ups, and management of chronic conditions, aligning with the goals of these special needs plans to promote better health care for vulnerable populations.

Other options may not provide the same level of support to the member's healthcare journey. Simply writing down the PCP details does not actively address any gaps in care. Submitting applications without a PCP could lead to complications or delays in access to care. Lastly, only enrolling if a member has a PCP limits access to beneficial care for those who may need assistance in establishing that connection. Hence, assisting in connecting them to an in-network doctor stands out as the most