Which document acts as proof of residency for I-SNP eligibility?

The correct choice for proof of residency for I-SNP (Institutional Special Needs Plan) eligibility is the institutional letterhead form. This document typically provides authoritative verification of an individual’s residency at a specific institutional facility, which is critical for determining eligibility for I-SNPs.

I-SNPs cater specifically to individuals living in institutions such as nursing homes or long-term care facilities, so confirming residency through proper documentation is essential. The institutional letterhead form not only serves as a formal statement from the institution but also usually contains necessary details about the patient’s admission and the level of care they receive, further supporting their eligibility for this type of plan.

Other options like the Medicaid card may confirm that an individual is on Medicaid but do not specifically verify residency in an institutional setting. A Level of Care assessment, while important for determining the type of services an individual requires, also does not serve as direct evidence of residency. The Certificate of enrollment may indicate that a person is enrolled in a plan but does not provide the same residency verification intended for I-SNP eligibility as the institutional letterhead form does.