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Special Supplemental Benefits for the Chronically Ill (SSBCI)

Date: 01/27/26

Special Supplemental Benefits for the Chronically Ill (SSBCI)

Starting in Plan Year (PY) 2026, newly enrolled members may qualify for Special Supplemental Benefits for the Chronically Ill (SSBCI) through provider attestation. These benefits are designed to support individuals living with qualifying chronic conditions by offering additional services beyond standard Medicare coverage.

How to Determine Eligibility

To begin the SSBCI manual eligibility process, members must schedule an in-person office visit or contact their healthcare provider to request that the attestation be completed. If an office visit is required to complete the attestation, during this visit, the provider will evaluate the member’s health status and determine if they meet SSBCI criteria.

Provider Instructions for SSBCI Attestation

Providers should follow these steps to complete the attestation:

  1. Visit the SSBCI Website. 
  2. Review the eligibility criteria outlined on the site and evaluate the patient accordingly.
  3. Submit an attestation through the website confirming the patient meets SSBCI eligibility requirements.
  4. Submit a claim from the office visit that includes the appropriate diagnosis codes indicating the member has one or more qualifying chronic conditions listed on SSBCI Website.

What Happens Next?

Once the attestation is received:

  • The member will receive an approval or denial letter within 10 business days.
  • If approved, the letter will include details about the specific SSBCI benefits available and instructions on how to access them.

Questions? Contact your Provider Engagement Account Manager. Need their contact information? Email us at: 📧  AzCHProviderEngagement@azcompletehealth.com.