If you plan to sell or have sold Chronic Condition Special Needs plans, you will want to be aware of this.
There are a number of Special Needs plans on the market today for those with “Chronic Conditions”. As a part of the MIPPA law, CMS was directed to convene a panel to determine which conditions should qualify as Chronic Conditions. These new guidelines will take affect in 2010 and will not affect 2009 enrollment. Here is a copy of the report: snp_cc_panel_final_report_v3
If you look at the report, pay special attention to pages 5 and 6 as these are the conditions which are permitted in qualifying for a Chronic SNP beginning in 2010.
Some Chronic SNP’s on the market today have much lower standards (like taking a Cholesterol lowering drug). I’m not sure at this point if these folks will be grandfathered (unlikely) or disenrolled (more likely), but you may end up having to write them a new plan in 2010 (for no additional commission, given the new commission rules).
Here is the Link to the CMS page on Chronic Condition Special Needs Plans.
Just something to think about!
