2022 centene act mastery exam quizlet

Wellcare ACT 2022 (Centene) 29 terms. A complaint or vialation that could not be substaintied and where no pattern of compliance issues exists is a founded complaint. Recent flashcard sets. 2023 Wellcare Act Mastery Exam Teleagent Quizlet. \quad\text{Cumulative Results of Operations-10/1/19}&\text{1,009,000}\\ All Wellcare standalone PDP plans will have a $0 Tier 1 preferred retail and mail benefit: - ANSWER True After you have completed the assigned course modules, the Mastery Exam will be unlocked. Recent flashcard sets. 30 terms. - ANSWER True ), -eApp Mobile/Tablet %%EOF Written request to the WellCare Grievance Department. But before creating any type of content, insurance agents must be able to identify the key traits that characterize their ideal audience. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Discovering Statistics Using IBM SPSS Statistics, Multivariate Data Analysis: Pearson International Edition, 2023 Wellcare ACT Mastery Certification Answered, Strategic Management and Competitive Advantage Concepts and Cases, Global Edition - William S. Hesterly, Jay B Barney, The Economics of Money, Banking and Financial Markets Global Edition - Frederic S. Mishkin, By selecting the correct provider during the enrollment process. If you suspect inappropriate conduct within WellCare, you should report it to: District Sales Managers The Health Risk Assessment (HRA) is an important part of our quality initiative as it: -Gives WellCare the ability to prevent any further health challenges Exam. Take a look for yourself below. Cigna just announced their 2023 ACA commission schedule! \quad\text{Unexpended Appropriations-2020}&\text{410,000}\\[5pt] ____ PDPs will be offered across all 50 U.S. states and Washington, D.C. - ANSWER Three For example, 2023 Wellcare Journey to a Successful Season will unlock after AHIP is completed. disneyland das. - ANSWER True When discussing prescription drug coverage, you should: - ANSWER -Explain how to use the formulary to look up limitations and exclusions (e.g., step therapy, quantity limits). Cano Health Medical Centers Centrum Medical Center Fox Medical Center IMC Health Medical Centers MedFlorida Medical Center UniVida Medical Center Community Medical Group is currently the main provider for the Ambetter Value Network. Grievances may be filed by which of the following methods? Fulfilling many needs and wants of society, c. Understanding whether a product will fail. -For drugs that are not covered by the new plan, explain the Transition Fill program and how to request a coverage exception. Study with Quizlet and memorize flashcards containing terms like A grievance request, or any evidence concerning a grievance, must be filed orally or in writing no later than _____ calendar days from the date of the event or the date the member is made aware of the issue., When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care . Not Contracted? Please be advised eligible producers will be paid commission for existing medical policies scheduled to renew 1/1/2023 under this 2023 commission schedule. This webcastwill serve as the 2022 training from which brokers can then complete certifications. - ANSWER True $7. The ACT with writing includes the four multiple. A member or member's representative must submit a grievance request or evidence concerning a grievance orally or in writing no later than _____ calendar days from the date of the event or the date the member is made aware of the issue. 30 terms. Are you contracted with Ambetter yet? Centene is a managed care corporation that acts as an intermediary between government and public health care services. For 2022, ______ will no longer be a preferred pharmacy - ANSWER Walmart Written warning, One way for you, an agent, to help WellCare with maintaining a high Star Rating is to encourage your members to complete the HRA in a timely fashion, You may advertise using the WellCare name and/or logo without prior approval from WellCare, The Personalized URL (PURL) can be used to enroll beneficiaires into a WellCare plan when you are in the home, Which of the following is/are the benefits of the Appointment Verification Line (AVL) via a phone call with the beneficiary? Per CMS guidelines, you can take a 2020 application beginning October 1, 2019 but the application cannot be submitted until October 15, 2019. 9/27/2018 Realize Your Potential: WellCare Test - SM 2019 ACT Mastery Exam Supporting Your Sales and Marketing Supporting Your Sales and Marketing Efforts. \quad\text{Accounts Payable}&\text{\$\hspace{7pt}134,000}\\ wildindigoambyy. For each weakness, indicate why it exists. Join GarityAdvantage Agencies Jane Feit and Mass Advantages Lea Freitas and Brandi LaPlant for a refresher on the unique value Mass Advantage brings to the Massachusetts senior market. 29 terms. Sarah-Yeaple. Which of the following statements about completing telephonic enrollments is FALSE? WellCare 2021 Centene Annual Certification Training: Now Available! - ANSWER True True. Wellcare PDP is consolidating from six plan offerings to three plan offerings for 2022. Termination not for cause -Had enrollment/disenrollment issues (e.g., disenrollment/cancellation requests, late enrollment penalty, loss of entitlement). Which option is the preferred method to submit enrollment? ( Select all that apply), Verbal coaching Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a: - ANSWER -Complaint Tracking Module (CTM) Be more than ready for plan year 2023! Which of the following is not. Wellcare ACT Mastery Exam. Body Composition. There are ___ LIS copay categories that could be assigned to a member, depending on the level of need. UYW4pH. v SAVEOURRESOURCESCOMMISSIONPreclosingTrialBalanceSeptember30,2020, Proprietaryaccounts:AccountsPayable$134,000AccumulatedDepreciation-PlantandEquipment5,350,000AppropriationsUsed4,500,000FundBalanceWithTreasury-2020?OperatingMaterialsandSupplies63,000CumulativeResultsofOperations-10/1/191,009,000Operating/ProgramExpenses2,150,000DepreciationandAmortization750,000PlantandEquipment8,111,000UnexpendedAppropriations-2020410,000Budgetaryaccounts:OtherAppropriationsRealized-2020?ExpendedAuthority-20204,500,000UndeliveredOrders-2020310,000Allotments-2020100,000\begin{array}{lrr} Provides an Appointment ID to use for an agent-assisted online application. One amount is missing in the following trial balance of proprietary accounts, and another is missing from the trial balance of budgetary accounts of the Save Our Resources Commission of the federal government. Amy Donahue hbbd``b`AD`qO @; mozi_y. - ANSWER True Once logged in, your $50 discount will be calculated during the payment process. Wellcare. Note: Each course must be completed in order. - Paper Application PDF Upload. The NEW online Centene Workbench self-service portal enables you to: - ANSWER All of the above A call to the Application Verification Line (VAL) is required for whihc type of application, Agent-Assisted Online Enrollment Application Tool, Which of the following are agents permitted to do when using the Personal URL (PURL). Click here to access the Centene Learning Center. Allwell Plans 1-844-202-6811 Hours: M - F, 9:00 a.m . Annual AHIP Training is still required. - ANSWER True c. At the end of a shift, each cashier counts the cash in his or her cash register, unlocks the cash register record, and compares the amount of cash with the amount on the record to determine cash shortages and overages. The True Out-of-Pocket (TrOOP) for 2020 will be: For plan year 2020, Wellcare standalone Prescription Drug Plans (PDP) will offer the same 90-day Preferred Mail Order benefit as 2019: Wellcare. -Secure emails that contain PHI or PII. If this interview goes well, you will be asked to go in for an interview with the hiring manager. Verbal permission granted to discuss plan details qualifies an authorized representative to complete an application on behalf of the beneficiary. A broker/agent may be terminated for cause if they fail to comply with a compliance investigation, encourage others to avoid the compliance interview process, or fail to provide truthful or complete information. - ANSWER True Centene's Interviews. Lets say that your ideal client likes to listen to carol singers during the holidays, as a content creator, you could potentially create your very own festive song that describes your business and all the services you provide (health insuranc. endstream endobj startxref Season" to begin. the date of the event or the date the member is made aware of the issue. Regional Compliance or Regulatory Staff, AccumulatedDepreciation-PlantandEquipment, Claudia Bienias Gilbertson, Debra Gentene, Mark W Lehman, Fundamentals of Engineering Economic Analysis, David Besanko, Mark Shanley, Scott Schaefer. - ANSWER True fufa_kasprzak. -Explain formulary tiers as well as drug copayment amounts. Note: Each course must be completed in order. \quad\text{Expended Authority-2020}&\text{4,500,000}\\ - ANSWER True Centene's 2023 product expansion represents a __% increase from 2022. Fax it into WellCare along with the paper application. For the 2022 plan year, which health plans will be consolidated into the Wellcare Medicare brand: - ANSWER Health Net, Fidelis Care, AllWell, 'Ohana, Trillium Advantage, WellCare }\\ You will be asked about your education, past job experience, and your strengths and weaknesses. The Part D Senior Savings Model (SSM), which reduces member spending on insulin, will be offered on the Value Script and Value Plus products - ANSWER True - ANSWER 3 Why are parties prone to nominating ideological candidates? Prescription drugs can be obtained at a preferred cost-share at certain stores/chains. - ANSWER -Shred documents that contain PHI or PII using appropriate means. 2023 Wellcare ACT Mastery Certification Answered. Which of the following takes place when using the personalized application page while faxing paper applications? The on-demand video will be sent after the live session. All PDPs will continue to offer $0 tier 1 preferred cost-sharing through CVS Medication Home Delivery (Mail Order). Other Quizlet sets. They have 72,500 employees and are headquartered in St. Louis, Missouri. By selecting the correct provider during the enrollment process, you can: - ANSWER All of the above A grievance request, or any evidence concerning a grievance, must be fi led orally or in writing. All Rights Reserved. Centene prides itself on the numerous benefits it offers its employees, which include: Open positions with Centene are posted on their website. Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. Centene's 2023 product expansion represents a __% increase from 2022. 505 0 obj <>stream -Secret Shop Finding Did you know GarityAdvantage providescontracted agents withno-cost and co-op lead programs, live and virtual training, personalized marketing collateral, client retention programs, and a knowledgeable teamto help you every step of the way. There are websites that will help you refresh your mathematical skills. View WellCare-TEST- SM 2019- EXAM-H2 (1).pdf from CS MISC at Golden West College. \end{array} Agents may be investigated after being suspected of noncompliant activity reported throughSelect all that apply. Study with Quizlet and memorize flashcards containing terms like Exempt securities must re-establish their exemption annually in order to be sold lawfully in the state., A material fact is deliberately omitted in a sales presentation because it was publicly known 4 years ago = PROHIBITED, A registration statement for new issues of securities under the USA is effective for more than one year . Remember, there is a 24 hour lockout . A Health Risk Assessment (HRA): - ANSWER All of the above Tuesday, February 22 | 2:00PM 3:00PM EST, Territory Manager Wellcare added ___ counties to their footprint for 2023. shibedeleshibe Plus. 479 0 obj <> endobj You will be able to track the status of your application through your online profile. Which Prescription Drug Plan (PDP) is best for dual-eligible members? b. They offer positions in nursing, customer service and claims, information technology, and many others. z!/0z`fx.XuJ}=RZ(l L@A2/M. $10. Use the following data for this assignment. - ANSWER False - ANSWER True - ANSWER Value Plus - ANSWER The agent of record will not remain with the member after the consolidation. before proceeding to AHIP and ACT (if you have not accessed the site Unlimited Attempts: You can take the mastery exam as many times as you would like. Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. The Minimum Necessary Rule within the Privacy Rule requires that any request or distribution of protected health information (PHI) occurs with only the minimum amount of PHI required to complete the intended task. Training for plan year 2023 begins June 20, 2022. - ANSWER True 1. Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. An agent may use the Personalized URL (PURL) to compliantly submit an enrollment application on behalf of their beneficiary. Practice4Me 2018-2023, All rights reserved. We can expect to see Christmas decorations just about everywhere. 2022 Annual Certification Training Details: One Combined ACT: Successful completion of ACT certifies you to market and sell all 2021 and 2022 Wellcare Medicare product offerings, for Allwell, Fidelis Care, Health Net, WellCare, and Ascension Complete Health Plans. 30 terms. -Confirm coverage of the beneficiary's current and/or anticipated prescriptions. This interview will go in-depth to help predict how you will perform on the job, and if your personality is a good fit for the company. This first interview usually takes around 15 minutes and will focus on your work history. Contract completion/submission to GarityAdvantage required prior to attending. To access our special link to your $50 discount, simply click on the button below to log into the GarityAdvantage Dashboardand choose the Access AHIP $50 Discount button at the top of the page. wildindigoambyy. Agility Insurance Services, LLC. Doing word puzzles will help you practice your reading comprehension. A Health Risk Assessment (HRA) can be completed for C-SNP and D-SNP plans only, before the enrollment application process in Ascend through the Value Based Enrollment (VBE) portal. \quad\text{Accumulated Depreciation-Plant and Equipment}&\text{5,350,000}\\ Which standalone Prescription Drug Plan is best for "dual-eligible" members? - ANSWER 209 Pharmacology. ACT Test Exam Option 2022 . Thoroughly read the directions so you do not make clumsy mistakes due to misunderstanding. A clear description of the copyrighted work infringed; A statement that you have a good faith belief that the use of the content identified in your DMCA notice is not authorized by the copyright owner, its agent or the law; Your contact information (such as your name, email address and telephone number); A certification, under penalty of perjury, that the DMCA notice is accurate, signed (either electronically or physically) by the copyright owner or the copyright owners legal representative. Using the STAR method (situation, task, action, result) will give context to your answers, and give the interviewer a better idea of who you are as an employee. . - ANSWER Library card 2022, Carriers, Certification, Training, Webinars, Mass Advantage will present their unique value. \textbf{Proprietary accounts:}\\ Open-Book Exam: The entire training course is available for download in PDF . - ANSWER False If this interview goes well, you will be asked to go in for an . GarityAdvantage Agencies. If a paper Scope of Appointment (SOA) form was used to capture SOA, and your appointment turns into an application for enrollment, which mandatory action is true? AboutDisclaimer Contact us: [emailprotected], Comprehensive Practice for Centenes Tests. Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. The following procedures were recently installed by The China Shop: a. Be sure to request your contractingtoday to gain access to thesevaluable marketingtools plus all the service and support! 2022 Annual Certification Training Details: One Combined ACT: Successful completion of ACT certifies you to market and sell all 2021 and 2022 Wellcare Medicare product offerings, for Allwell, Fidelis Care, Health Net, WellCare, and Ascension Complete Health Plans. Overall, the holiday season seems to bring joy and family unity around the world. BrenTied. -Helps ensure WellCare members are able to access care. Failure to inform a beneficiary that a trusted provider is out-of-network or is not available in the newly selected plan can cause a sales allegation. There are many different career paths available with Centene. Which stage of coverage is referred to as the "donut hole" as the member is paying the most for drug coverage: - ANSWER Coverage Gap 30 terms. - ANSWER Must include most of the required elements necessary to complete the enrollment Which of the following is not an example of Protected Health Information (PHI)? All PDPs will feature a $0 tier 1 benefit when filled at preferred pharmacies. True. Key areas you as a Sales Agent / Broker have control over and impact upon regarding Star (Quality) Ratings are - ANSWER All of the Above - ANSWER Ascend Web/Mobile Application Agents can use the Materials Portal to order sales materials and track shipment, Agents may be terminated for cause if they fail to comply with a compliance investigation, encourage others to avoid the compliance interview process or fail to provide truthful or complete information. - ANSWER True Resources. g. The bank reconciliation is prepared by the cashier. \quad\text{Operating Materials and Supplies}&\text{63,000}\\ This first interview usually takes around 15 minutes and will focus on your work history. During an appointment, you may not discuss any products not agreed to in advance by the beneficiary. AHIPs one-stop program meets CMS requirements and provides what you need to help your clients make the right decisions about their health insurance needs. Kahoot: unit 3. Medical Insurance Commissions Medical commissions apply to all metal levels and plans sold on or off Marketplace. chibiusa2023. Sales made during an Open Enrollment or a Special Enrollment Period are eligible. Flashcards; Learn; Solutions; Modern Learning Lab; \textbf{Preclosing Trial Balance}\\ At that time, any new medical sales commissions due will be paid, starting from the first 2023 application. Dental Insurance Commissions The dental commission structure pertains to business with effective dates of 1/1. \quad\text{Depreciation and Amortization}&\text{750,000}\\ Company Registration Number: 61965243 - ANSWER Prior to - ANSWER True What is the application tracker in Agent Connect used for? To ensure accurate data entry, you should repeat the Medicare ID back to the beneficiary.