BrenTied. Recent flashcard sets. ______ events are designed to inform the people that attend about Medicare Advantage, Prescription Drug, or other Medicare programs without going into the specifics of a particular carrier. - ANSWER Prior to -Confirm coverage of the beneficiary's current and/or anticipated prescriptions. \textbf{SAVE OUR RESOURCES COMMISSION}\\ Wellcare offers a range of Medicare plans to provide members with affordable access to: - ANSWER All of the above Generics and brand name drugs are covered on which Part D drug tier/s? Open-Book Exam: The entire training course is available for download in PDF format . When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). - ANSWER The agent of record will not remain with the member after the consolidation. 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 . By Nancylect 4 months ago. T. . Medical Insurance Commissions Medical commissions apply to all metal levels and plans sold on or off Marketplace. You pay only $125. But before creating any type of content, insurance agents must be able to identify the key traits that characterize their ideal audience. One Combined 2021 ACT: this year's 2021 ACT is combined and satisfies the certification requirement for all Centene products, including MA/MAPD and PDP: Allwell, Ascension Complete, Fidelis Care, Health Net, & WellCare; Unlimited Attempts: You can take the mastery exam as many times as you would like. Termination not for cause In the event you need to use a paper Scope of Appointment (SOA) form, it must be completed____ hosting the sales presentation. Follow the Simple Process Below to begin training: We're Here to Help! Centene's 2023 product expansion represents a __% increase from 2022. Click hereto access the Centene Learning Center. 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. Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. 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. Wellcare. During an appointment, you may not discuss any products not agreed to in advance by the beneficiary. This first interview usually takes around 15 minutes and will focus on your work history. 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 Which of the following takes place when using the personalized application page while faxing paper applications? What is the application tracker in Agent Connect used for? f. Disbursements are made from the petty cash fund only after a petty cash receipt has been completed and signed by the payee. 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{Unexpended Appropriations-2020}&\text{410,000}\\[5pt] Wellcare Centene Mastery Test 2023. Practice4Me 2018-2023, All rights reserved. A scope of Appointment (SOA) is required if benefits are going to be discussed prior to a beneficiary enrolling on their own via your Personalized URL (PURL). z!/0z`fx.XuJ}=RZ(l
L@A2/M. Agents who wish to use the new Mobile Scope of Appointment (SOA) app to capture SOA are encouraged to complete the SM Mobile Scope of Appointment APP training in WellCare University. - ANSWER True - ANSWER All of the Above Annual AHIP Training is still required. What are some examples of steps that can be taken when safeguarding and securing PHI and PII? -Helps ensure WellCare members are able to access care. Medical commissions will be paid for up to four children on the plan. ____ new Wellcare and Ascension Complete plans are going to market. - ANSWER True Once in the AHIP portal, scroll down the page to the log in section and either enter your existing Log In Credentials or follow the prompts to Create a New Account. - Paper application Fax Submission Other Quizlet sets. . Dental Insurance Commissions The dental commission structure pertains to business with effective dates of 1/1. 2022 Centene Act Mastery Exam Answers - Zqpd.tumon.shop. }\\ 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. \quad\text{Fund Balance With Treasury-2020}&\text{? 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} True. wildindigoambyy. Once the enrollment is completed, you can save a copy of the application for your reference. To ensure accurate data entry, you should repeat the Medicare ID back to the beneficiary. before proceeding to AHIP and ACT (if you have not accessed the site (Select all that apply). 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. Member PHI can be stored on an external hard drive or a cloud storage service like Google Drive or Apple Cloud. All sales are rung up on the cash register, and a receipt is given to the customer. 2022, Carriers, Certification, Training, Webinars, Mass Advantage will present their unique value. Sales made during an Open Enrollment or a Special Enrollment Period are eligible. 2021, Certification They are number 61 on the Fortune 500 list and serve 2 international markets, as well as 29 states. A complaint or vialation that could not be substaintied and where no pattern of compliance issues exists is a founded complaint. Which of the following materials should you leave with the beneficiary after completing an enrollment into a WellCare Health Plan? 491 0 obj
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Youll be prepared for AEP 2023! Wellcare ACT 2022 (Centene) 29 terms. We're available through e-mail, live chat and Facebook. An 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 Which of the following is not. All Wellcare standalone PDP plans will have a $0 Tier 1 preferred retail and mail benefit: - ANSWER True Note: Once certification training requirements are completed, please allow 48 hours for our systems to update. Ambetter Value plans are available in: Broward, Clay, Duval, Hillsborough, Lake, Miami-Dade, Orange, Osceola, Palm Beach, Pasco and Seminole counties. 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 \textbf{September 30, 2020}\\ - eApp Desktop . 12. 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). - ANSWER Compliant tracking module, grievance, secret shop finding wellcare. There are many different career paths available with Centene. When you find a position fill out and submit an online application. - ANSWER True We can expect to see Christmas decorations just about everywhere. - ANSWER -Did not consent to enroll in the plan. Centene is a managed care corporation that acts as an intermediary between government and public health care services. If this interview goes well, you will be asked to go in for an interview with the hiring manager. 2023 Wellcare ACT Mastery Certification Answered. When enrolling a D-SNP beneficiary, be sure to verify plan enrollment eligibility and that the MSP program level is eligible for the requested plan. - ANSWER True \quad\text{Accounts Payable}&\text{\$\hspace{7pt}134,000}\\ - ANSWER True Fax Kahoot: unit 3. wildindigoambyy. Education> Exam > NURSING 3165 Predictor Version 1 Complete. The ACT with writing includes the four multiple. The debits are not distinguished from the credits. (Select all that apply), AVL telephonically records SOA via a phone call with the beneficiary Which option is the preferred method to submit enrollment? My Certifications . Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? - ANSWER Value Plus - ANSWER Educational Use the following data for this assignment. There are ___ LIS copay categories that could be assigned to a member, depending on the level of need. Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. Psychometric tests are given to narrow down the pool of potential candidates before deciding who to interview. Request your contracting today, attend the webinar, complete the certs and you will be ready to sell Mass Advantage in a matter of days! 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. Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. By MARKALLAN , Uploaded: Jul 28, 2022. Upload your AHIP Certificate on Garitys website. Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing: - ANSWER True