Which statement is not true regarding eligibility for enrollment in an Institutional Special Needs Plan (I-SNP)?

The statement that is not true regarding eligibility for enrollment in an Institutional Special Needs Plan (I-SNP) is that individuals must have Medicaid. I-SNPs are specifically designed for individuals who reside in institutional settings such as skilled nursing facilities and generally cater to those who have complex medical needs. While it is common for many individuals in these settings to also qualify for Medicaid, having Medicaid is not a mandatory requirement for enrollment in an I-SNP.

This means that an individual could potentially qualify for an I-SNP based solely on their residency in a skilled nursing facility and their age, without necessarily being enrolled in the Medicaid program. Therefore, the focus on residency and coverage needs—rather than financial assistance status—highlights the structure of eligibility for I-SNPs.