Which situation would make a consumer ineligible to enroll in a CSNP immediately?

A consumer would be ineligible to enroll in a Chronic Special Needs Plan (CSNP) if they are already enrolled in a similar plan. CSNPs are specifically designed for individuals with chronic conditions, and enrollment is typically exclusive to avoid overlap in benefits and coverage. If a consumer is currently receiving care through another like plan, it indicates they are already in a program that meets their needs, making them ineligible for immediate enrollment in a new or different CSNP.

The other scenarios do not inherently make someone ineligible. Having multiple chronic conditions or being diagnosed with a new chronic condition actually qualifies a consumer for enrollment in a CSNP, as these plans are tailored precisely for such individuals. Lacking a physician referral may impact access to services or benefits under certain plans, but it does not affect eligibility for enrollment in the CSNP itself. Thus, being enrolled in an existing similar plan is the defining reason for ineligibility.