Which of the following is a best practice for enrollment in Dual Eligible Special Needs Plans (D-SNP)?

Encouraging connection to an in-network doctor if the individual is not linked to a primary care provider (PCP) is a best practice for enrollment in Dual Eligible Special Needs Plans (D-SNP) because having a PCP ensures that members receive coordinated care. A PCP acts as a central point for managing a patient's overall health, which is especially important for individuals who may have complex medical needs typically seen in dual-eligible populations.

By stressing the importance of connecting with an in-network doctor, it not only helps the patient establish a reliable healthcare relationship but also allows them to receive comprehensive services covered by the D-SNP. This connection maximizes their benefits, ensuring that they are directed to appropriate specialists and services as needed. Moreover, being linked to an in-network provider often results in lower out-of-pocket costs and better health outcomes since these providers are familiar with the benefits and services available within the plan.

In contrast, submitting applications without a PCP could lead to gaps in care and a lack of support for managing health challenges. Selecting any PCP regardless of availability might result in patients being assigned to providers who are not accepting new patients or are not adequately equipped to manage their unique needs. Rushing the enrollment process can lead to errors and oversights that compromise