United Healthcare Certification Practice Exam

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What additional enrollment document is required for all IE-SNP enrollments?

Authorization for Disclosure form

ILOC

The correct choice for the additional enrollment document required for all Institutional-Eligible Special Needs Plans (IE-SNP) is the ILOC, or Institutional Level of Care document. This document is essential because it verifies that the individual qualifies for the specific type of care that the IE-SNP provides.

IE-SNPs cater explicitly to individuals living in institutions or those who require long-term care services. The ILOC effectively confirms that the individual's care needs align with the eligibility criteria established for enrollment in such plans. Without this verification, the enrollment process cannot proceed, as the plan must ensure that resources are appropriately allocated to those who meet the necessary criteria for institutional care.

In contrast, while other documents like the Authorization for Disclosure form, proof of residency, and financial assessment form are important in different contexts, they do not specifically address the foundational eligibility requirements unique to IE-SNPs as the ILOC does.

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Proof of residency

Financial assessment form

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