2022 centene act mastery exam quizlet

WellCare has worked hard to include ACT in the One Broker Experience: Completing 2021 ACT satisfies the certification requirements to market and sell both 2020 and 2021 Centene plans. Wellcare has streamlined standalone PDP offerings from six plans to ___ in all 34 regions across all 50 states and D.C. - ANSWER Three plans fufa_kasprzak. Chapter 22. disneyland das. Wellcare. - ANSWER Compliant tracking module, grievance, secret shop finding The HRA is an important part of our quality initiative as it 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. - ANSWER False This will give you some insight into the type of employee they are looking for and can help you tailor your answers. Centene may have you complete more than one interview. Termination not for cause Which of the following is not a Wellcare quality driver? Wellcare. Which of the following statements about completing telephonic enrollments is FALSE? 2023 Wellcare ACT Mastery Certification Answered. Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare's Medicare Products - ANSWER True - ANSWER Ascend Web/Mobile Application Join Harvard Pilgrim Health Cares MaryEllen Joyce and GarityAdvantage AgenciesSusan Young to learn abouttheirnew products and benefits for2023and take care of Stride certification requirements all in one convenient livemeeting. 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. ,d=CtC.WOB&Q;S&4fgnvb"/}eR[`64 30 terms. The beneficiary (or their authorized representative) must indicate the product types to be discussed during the appointment on the Scope of Appointment (SOA). Good Luck! - Paper application Fax Submission -Explain formulary tiers as well as drug copayment amounts. Written request to the WellCare Grievance Department. The beneficiary (or their authorized representative) must indicate the product types to be discussed during the appointment on the Scope of Appointment (SOA). The Part D Senior Savings Model (SSM), which reduces member spending on insulin, will be offered on all Value Script, Value Plus PDPs, and select Wellcare MAPD plans. Education> Exam > NURSING 3165 Predictor Version 1 Complete. endstream endobj startxref They have 72,500 employees and are headquartered in St. Louis, Missouri. Why are parties prone to nominating ideological candidates? Exam. Wellcare added ___ counties to their footprint for 2023. 1.1 Accuracy and 2.1 Brevity. - ANSWER Prior to mozi_y. Generics and brand name drugs are covered on which Part D drug tier/s? Inquiries are not grievances because they do not express dissatisfaction. Which of the following is a new WellCare Prescription Drug Plan (PDP), WellCare offers the following methods for agent-assisted enrollment applications: (select all that apply. \quad\text{Operating/Program Expenses}&\text{2,150,000}\\ Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. 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. For plan year 2020, WellCare has expanded and enhanced product offering across the country. Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. Take time to research the company and the position. \quad\text{Unexpended Appropriations-2020}&\text{410,000}\\[5pt] Education> Exam > 2023 Wellcare ACT Mastery Certification Answered (All) 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. A Health Risk Assessment (HRA): - ANSWER All of the above This first interview usually takes around 15 minutes and will focus on your work history. Ambetter Value plans are available in: Broward, Clay, Duval, Hillsborough, Lake, Miami-Dade, Orange, Osceola, Palm Beach, Pasco and Seminole counties. Practice4Me 2018-2023, All rights reserved. Please be advised eligible producers will be paid commission for existing medical policies scheduled to renew 1/1/2023 under this 2023 commission schedule. The NEW online Centene Workbench self-service portal enables you to: - ANSWER All of the above wildindigoambyy. You will not be called in for an interview if you do not pass the assessment tests, therefore it is very important that you prepare yourself prior to taking the tests. Wellcare: 2022 Annual Certification Training Now A UnitedHealthcare: Year-Long Access to the Peloton App, Oscar Health Introducing a New Partnership, BlueCross BlueShield of Texas: New Bonus Program. Wellcare's quality focus consists of six drivers. Cant attend on the 22nd? Other Quizlet sets. View WellCare-TEST- SM 2019- EXAM-H2 (1).pdf from CS MISC at Golden West College. For PDP Medication Home Delivery, the ____ plan will continue to offer a discount for 90-day tier 2, tier 3 and tier 6 prescriptions. \quad\text{Undelivered Orders-2020}&\text{310,000}\\ Pharmacology. 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. Fax it into WellCare along with the paper application. 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. Prescription drugs can be obtained at a preferred cost-share at certain stores/chains. Note: Each course must be completed in order. There are many different career paths available with Centene. - ANSWER False - ANSWER True . Also, assume that Other Appropriations Realized2019 were zero. - ANSWER True When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). 30 terms. 2023 Wellcare ACT Mastery Certification Answered. Wellcare ACT Journey to a Successful Season. - ANSWER False Prior to completing the enrollment form, you should always confirm the beneficiary's primary care physician (PCP) and/or specialists. True. 2023 New Hampshire Stride Product Rollout& Certification with Harvard Pilgrim, HPHC 2023 Stride Training & Certification. shibedeleshibe Plus. - ANSWER True 2021 Centene ACT Mastery Exam. \textbf{SAVE OUR RESOURCES COMMISSION}\\ If this interview goes well, you will be asked to go in for an . Fulfilling many needs and wants of society, c. Understanding whether a product will fail. - ANSWER 50 Key areas you as a Sales Agent / Broker have control over and impact upon regarding Star (Quality) Ratings are - ANSWER All of the Above 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 ______ 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 All of the above - ANSWER An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the appointment. g. The bank reconciliation is prepared by the cashier. , issue. 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. An agent may use the Personalized URL (PURL) to compliantly submit an enrollment application on behalf of their beneficiary. hbbd``b`AD`qO @; 2023 Wellcare ACT Mastery Exam - TeleAgentSub-Course Learn with flashcards, games, and more for free. before proceeding to AHIP and ACT (if you have not accessed the site Wellcare ACT Mastery Exam. \textbf{Proprietary accounts:}\\ Sales made during an Open Enrollment or a Special Enrollment Period are eligible. You will be asked about your education, past job experience, and your strengths and weaknesses. Which option is the preferred method to submit enrollment? During an appointment, you may not discuss any products not agreed to in advance by the beneficiary. Quizlet Plus for teachers. History test #3 Key terms and people. They are number 61 on the Fortune 500 list and serve 2 international markets, as well as 29 states. 479 0 obj <> endobj After your application has been reviewed you will be sent notification of the result. When you find a position fill out and submit an online application. d. Checks received through the mail are given daily to the accounts receivable clerk for recording collections on account and for depositing in the bank. But how is this fact going to help you sell more health insurance? -Helps ensure WellCare members are able to access care. What does it mean to be a centrist candidate? Communication of PHI can be: - ANSWER Written, Electronic, Verbal (Select all that apply), AVL telephonically records SOA via a phone call with the beneficiary - ANSWER 60 In completing the assignment, assume that all assets are entity assets, Fund Balance with Treasury is an intragovernmental asset, and all other assets are governmental. If this interview goes well, you will be asked to go in for an interview with the hiring manager. wellcare. Thoroughly read the directions so you do not make clumsy mistakes due to misunderstanding. BrenTied. - ANSWER True Starting January 1, 2023, Ambetter Value plan members can access providers in the below list for all medical needs. ), -eApp Mobile/Tablet Which of the following materials should you leave with the beneficiary after completing an enrollment into a WellCare Health Plan? Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? 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 A complaint or vialation that could not be substaintied and where no pattern of compliance issues exists is a founded complaint. There are ___ LIS copay categories that could be assigned to a member, depending on the level of need. \quad\text{Cumulative Results of Operations-10/1/19}&\text{1,009,000}\\ 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} 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. Which resources are available for download from the Shared Resources section found within Centene Workbench? Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. 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). What are some examples of what can trigger a beneficiary complaint? TDI: Texas Department of Insurance - Changes to Ag CMS Proposed Rule to Increase Americans Access to 2022 MAPD/PDP Certification & Training Preparation Oscar Health: Network Expansion Announced Today, Complete 2022 Wellcare ACT Journey to a Successful Season, Complete 2022 Wellcare ACT Know Your Product. 1. 411 terms. \quad\text{Accumulated Depreciation-Plant and Equipment}&\text{5,350,000}\\ 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. We can expect to see Christmas decorations just about everywhere. 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. Ambetter plans to expand access to their value network in Florida. $10. - ANSWER True Remember, there is a 24 hour lockout . Monday, August 15th, 2PM 4PM EDT. \end{array} - ANSWER True Upload your AHIP Certificate on Garitys website. Wellcare ACT 2022 (Centene) 29 terms. Centene's 2023 product expansion represents a __% increase from 2022. The Mobile Scope of Appointment (SOA) & Enrollment platform enables agents to capture/store SOA and complete/submit an enrollment application. Wellcare ACT 2022 (Centene) 29 terms. All sales are recorded on a record locked inside the cash register. 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. BrenTied. My Certifications . All PDPs will feature a $0 tier 1 benefit when filled at preferred pharmacies. . 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 . - ANSWER Value Script This webcastwill serve as the 2022 training from which brokers can then complete certifications. Per CMS guidelines, you can take a 2020 application beginning October 1, 2019 but the application cannot be submitted until October 15, 2019. The following procedures were recently installed by The China Shop: a. - ANSWER 60 -Confirm coverage of the beneficiary's current and/or anticipated prescriptions. Open-Book Exam: The entire training course is available for download in PDF . kturner1988. Tuesday, February 22 | 2:00PM 3:00PM EST, Territory Manager -Received incorrect plan benefit information or were dissatisfied with plan benefits. After you have completed the assigned course modules, the Mastery Exam will be unlocked. 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? ____ PDPs will be offered across all 50 U.S. states and Washington, D.C. - ANSWER Three Identify the INCORRECT statement regarding the plan consolidation. -For drugs that are not covered by the new plan, explain the Transition Fill program and how to request a coverage exception. 2023 medical commissions for applications one to four will be paid $0 PMPM until the agent or agency reaches five medical applications. - ANSWER True 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. All Rights Reserved. 29 terms. \quad\text{Accounts Payable}&\text{\$\hspace{7pt}134,000}\\ Wellcare ACT Know Your Product. Be sure to request your contractingtoday to gain access to thesevaluable marketingtools plus all the service and support! Verbal permission granted to discuss plan details qualifies an authorized representative to complete an application on behalf of the beneficiary. Which of the following takes place when using the personalized application page while faxing paper applications? Recent flashcard sets. ajswader. Centene continues to expand its reach by offering more products in a wider geography. Praca (narzdzia) 24 terms. \quad\text{Plant and Equipment}&\text{8,111,000}\\ -Secret Shop Finding A score of 85% or higher is needed to pass the 2021 ACT Mastery Exam. after 5/10/2021). You pay only $125. Agility Insurance Services, LLC. True. Grievances may be filed by which of the following methods? Note: Each course must be completed in order. Take a look for yourself below. 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? Unlimited Attempts: You can take the mastery exam as many times as you would like. First Time Visitors: Click on to the Create a New Account link under the First Time Visitor? Agents may be investigated after being suspected of noncompliant activity reported throughSelect all that apply. Education> Exam > 2023 Wellcare ACT Mastery Certification Answered (All) 2023 Wellcare ACT Mastery Certification Answered. GarityAdvantage has got you covered with a $50 discount on your annual training. Indicate whether each of the procedures of internal control over cash represents (1) a strength or (2) a weakness. 491 0 obj <>/Filter/FlateDecode/ID[<77ED121B7802AF41A26171E3FF5EDEBB>]/Index[479 27]/Info 478 0 R/Length 71/Prev 509691/Root 480 0 R/Size 506/Type/XRef/W[1 2 1]>>stream Which standalone Prescription Drug Plan is best for "dual-eligible" members? \textbf{Preclosing Trial Balance}\\ Sarah-Yeaple. 2021, Certification - ANSWER True Which standalone Prescription Drug Plan is best for a dual-eligible chooser? By: Michelle M. Saavedra The most wonderful time of the year is here! What is the application tracker in Agent Connect used for? 30 terms. To ensure accurate data entry, you should repeat the Medicare ID back to the beneficiary. For each weakness, indicate why it exists. Unit 3 Atomic Structure Mini Quiz. This trial balance was prepared before budgetary accounts were adjusted, such as returning unused appropriations. Centene has new PPO D-SNP product expansion in CT, IN, KS, KY, MS, OH, OK, PA, SC, and a new HMO D-SNP in LA. \quad\text{Depreciation and Amortization}&\text{750,000}\\ AboutDisclaimer Contact us: [emailprotected], Comprehensive Practice for Centenes Tests. - ANSWER True 30 terms. Records and saves the Scope of Appointment (SOA) per CMS regulations via a live agent speaking with the beneficiary - ANSWER False 2021 Centene (WellCare) Annual Certification Training, Stand Alone PDPs (Prescription Drug Plans), T65 Medicare Dinners Educational Seminars. Education> Exam > NURSING 3165 Predictor Version 1 Complete. Cigna just announced their 2023 ACA commission schedule! All Wellcare standalone PDP plans will have a $0 Tier 1 preferred retail and mail benefit: - ANSWER True Are you contracted with Ambetter yet? Season" to begin. HPHC 2023 Stride Training & Certification - ANSWER True -Secure emails that contain PHI or PII. In good form, prepare the following statements for the Save Our Resources Commission for 2020: Which of the following will be accomplished by efficient allocations of the factors of production? -Grievance 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. Wellcare Centene Mastery Test 2023. Once logged in, your $50 discount will be calculated during the payment process. The Single Sign-On Portal provides access to several applications, including Centene Workbench. }\\ Take the tests in a quiet place where you can concentrate. 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. There are websites that will help you refresh your mathematical skills. \textbf{Budgetary accounts:}\\ Exam. Not Contracted? We're available through e-mail, live chat and Facebook.

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