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. b. 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. For each weakness, indicate why it exists. They are number 61 on the Fortune 500 list and serve 2 international markets, as well as 29 states. All PDPs will continue to offer $0 tier 1 preferred cost-sharing through CVS Medication Home Delivery (Mail Order). 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. Resources. Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. \quad\text{Other Appropriations Realized-2020}&\text{? Unit 3 Atomic Structure Mini Quiz. Course Hero is not sponsored or endorsed by any college or university. This first interview usually takes around 15 minutes and will focus on your work history. - 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 3 - ANSWER An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the appointment. Applications can be tracked from start to finish within your Agent Connect portal. But before creating any type of content, insurance agents must be able to identify the key traits that characterize their ideal audience. 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? Centene's 2023 product expansion represents a __% increase from 2022. SAVEOURRESOURCESCOMMISSIONPreclosingTrialBalanceSeptember30,2020\begin{array}{c} 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 \textbf{Preclosing Trial Balance}\\ BrenTied. Agility Insurance Services, LLC. 2022, Carriers, Certification, Training, Webinars, Mass Advantage will present their unique value. Records and saves the Scope of Appointment (SOA) per CMS regulations via a live agent speaking with the beneficiary 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. WellCare 2021 Centene Annual Certification Training: Now Available! - ANSWER Compliant tracking module, grievance, secret shop finding Help . 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. . Ambetter Value plans are available in: Broward, Clay, Duval, Hillsborough, Lake, Miami-Dade, Orange, Osceola, Palm Beach, Pasco and Seminole counties. Exam. sammi2895. $7. disneyland das. Which standalone Prescription Drug Plan is best for a dual-eligible chooser? Step 2: Complete the following sections within the 2023 training: AHIP Medicare Training. 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. 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. 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). All Rights Reserved. Overall, the holiday season seems to bring joy and family unity around the world. If you suspect inappropriate conduct within WellCare, you should report it to: District Sales Managers There are many different career paths available with Centene. Centene may have you complete more than one 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! - ANSWER True A broker/agent who has never had any verbal warnings cannot be issued a Corrective Action Plan. . - ANSWER True First Time Visitors: Click on to the Create a New Account link under the First Time Visitor? Proprietaryaccounts:AccountsPayableAccumulatedDepreciation-PlantandEquipmentAppropriationsUsedFundBalanceWithTreasury-2020OperatingMaterialsandSuppliesCumulativeResultsofOperations-10/1/19Operating/ProgramExpensesDepreciationandAmortizationPlantandEquipmentUnexpendedAppropriations-2020Budgetaryaccounts:OtherAppropriationsRealized-2020ExpendedAuthority-2020UndeliveredOrders-2020Allotments-2020$134,0005,350,0004,500,000?63,0001,009,0002,150,000750,0008,111,000410,000?4,500,000310,000100,000. Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. Grievances may be filed by which of the following methods? 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. View WellCare-TEST- SM 2019- EXAM-H2 (1).pdf from CS MISC at Golden West College. 2023 medical commissions for applications one to four will be paid $0 PMPM until the agent or agency reaches five medical applications. 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. Wellcare ACT 2022 (Centene) 29 terms. UYW4pH. v 505 0 obj <>stream Agents can use the Materials Portal to order sales materials and track shipment. \quad\text{Appropriations Used}&\text{4,500,000}\\ Graded A (All) They offer positions in nursing, customer service and claims, information technology, and many others. Are you gearing up to start your MFWA training for 2023? Amy Donahue Key areas you as a Sales Agent / Broker have control over and impact upon regarding Star (Quality) Ratings are - ANSWER All of the Above GarityAdvantage Agencies. - ANSWER All of the above Education> Exam > NURSING 3165 Predictor Version 1 Complete. 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. 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. the date of the event or the date the member is made aware of the issue. Flashcards; Learn; Solutions; Modern Learning Lab; - ANSWER True - ANSWER False s_casillas Plus. Be sure to request your contractingtoday to gain access to thesevaluable marketingtools plus all the service and support! Provides an Appointment ID to use for an agent-assisted online application. 30 terms. The ACT (no writing) consists of four multiple-choice tests in English, mathematics, reading, and science. T. . Education> Exam > NURSING 3165 Predictor Version 1 Complete. This includes email and physical distribution. 30 terms. \quad\text{Accounts Payable}&\text{\$\hspace{7pt}134,000}\\ Practice4Me 2018-2023, All rights reserved. True. \end{array} - ANSWER True - Paper Application PDF Upload. Returning Users: Enter your Username and Password and click Login. 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 6. Sarah-Yeaple. 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 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 . The debits are not distinguished from the credits. \textbf{SAVE OUR RESOURCES COMMISSION}\\ 1. Wellcare ACT Mastery Exam. And dont get me started on the unofficial holiday song that was released back in 1994 (yes, we are talking about Mariah Careys single: All I want for Christmas is you). 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. This webcast provides a great opportunity to get you up to speed on the fastest selling Medicare Advantage product in Worcester Country. *Tier 1 copay of $0 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. Which of the following statements about completing telephonic enrollments is FALSE? Season" to begin. -Explain formulary tiers as well as drug copayment amounts. Follow the Simple Process Below to begin training: We're Here to Help! 30 terms. 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. WellCare 2020. Wellcare. -Grievance -Never leave laptops, PHI, or PII in an unattended vehicle. When a paper SOA form is used, it must be completed __________ hosting the sales presentation. Medical commissions will be paid for up to four children on the plan. This will give you some insight into the type of employee they are looking for and can help you tailor your answers. - ANSWER True - ANSWER The agent of record will not remain with the member after the consolidation. Recent flashcard sets. Open-Book Exam: The entire training course is available for download in PDF format located in the course Resources. After your application has been reviewed you will be sent notification of the result. 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. 411 terms. \quad\text{Allotments-2020}&\text{100,000}\\ 10 Als Electric Service is an electric contracting company in Metro City The, HUM 100 Worksheet Realism, Impressionism, and the Modern World.docx, Kami Export - JULIAN LEIGH ABELLA - Classwork #1 Questions.pdf, ServerView Display Format 2 The following shows the display format in ServerView, Starting and control air pipes The piping delivered with and fitted onto the, Prevent suppliers from imposing unreasonable restraints on distributors o, Personal Development and the Different Aspects.docx, 3 answer E Question type classification reasoning questions Analysis According, have come to call the monster god I have had a number of patients with similar, But lets start at the beginning of the end for the Jews or was it the end of the, ADS465 DISPUTES BETWEEN EMPLOYEES(UNION) AND EMPLOYERS.pdf, India n Rupe es Year 4 in India n Rupe es Year 5 in India n Rupe es Total in, J Restraint of trade and other amounts Where an amount or restraint of trade, ME 270 Lab 1 HCD Group Report Instruction _SP23.pdf, 534 with learning rate schedule t t Note that we compute a new SGD. Other Quizlet sets. HPHC 2023 Stride Training & Certification Which Prescription Drug Plan (PDP) is best for dual-eligible members? Click hereto access the Centene Learning Center. There are ___ LIS copay categories that could be assigned to a member, depending on the level of need. Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? Member PHI can be stored on an external hard drive or a cloud storage service like Google Drive or Apple Cloud. A score of 85% or higher is needed to pass the 2021 ACT Mastery Exam. If this interview goes well, you will be asked to go in for an . Why are parties prone to nominating ideological candidates? You will be asked about your education, past job experience, and your strengths and weaknesses. They have 72,500 employees and are headquartered in St. Louis, Missouri. after 5/10/2021). 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 takes place when using the personalized application page while faxing paper applications? - ANSWER Classic }\\ The following procedures were recently installed by The China Shop: a. The _________ plan is expected to have one of the lowest premiums in the country! Education> Exam > 2023 Wellcare ACT Mastery Certification Answered (All) 2023 Wellcare ACT Mastery Certification Answered. - ANSWER True \quad\text{Plant and Equipment}&\text{8,111,000}\\ hb```, - ANSWER True Good Luck! Which of the following is not. Cigna just announced their 2023 ACA commission schedule! Open-Book Exam: The entire training course is available for download in PDF . When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). 2021 Centene (WellCare) Annual Certification Training, Stand Alone PDPs (Prescription Drug Plans), T65 Medicare Dinners Educational Seminars. Tests that job-seekers may encounter when applying with Centene are: Centene may have you complete more than one interview. 22. 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 \quad\text{Depreciation and Amortization}&\text{750,000}\\ Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. Wellcare has added ____ new counties to our footprint in 2022 - ANSWER 327 ____ PDPs will be offered across all 50 U.S. states and Washington, D.C. - ANSWER Three Wellcare. Wellcare offers a range of Medicare plans to provide members with affordable access to: - ANSWER All of the above - ANSWER -Did not consent to enroll in the plan. - The bar code is linked with your agent ID and certification status. For example, 2021 Centene Journey to a Successful Season will unlock after AHIP is completed. If this interview goes well, you will be asked to go in for an interview with the hiring manager. - ANSWER 60 A passing score of __ or higher must be achieved to successfully complete this course - ANSWER 85% To ensure accurate data entry, you should repeat the Medicare ID back to the beneficiary. -Had enrollment/disenrollment issues (e.g., disenrollment/cancellation requests, late enrollment penalty, loss of entitlement). How Quizlet works; Careers; Advertise with us; News; Get the app; For students. - ANSWER True Register anyway! For 2022, ______ will no longer be a preferred pharmacy - ANSWER Walmart 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). 43 terms. - ANSWER True -Helps ensure WellCare members are able to access care. Take time to research the company and the position. endstream endobj startxref Starting January 1, 2023, Ambetter Value plan members can access providers in the below list for all medical needs. 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. We can expect to see Christmas decorations just about everywhere. Wellcare PDP is consolidating from six plan offerings to three plan offerings for 2022. ajswader. \quad\text{Accumulated Depreciation-Plant and Equipment}&\text{5,350,000}\\ By: Michelle M. Saavedra The most wonderful time of the year is here! Other Quizlet sets. Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare's Medicare Products - ANSWER True \end{array} provide truthful or complete information. Which of the following statements about Scope of Appointment (SOA) is FALSE? Which stage of coverage is referred to as the "donut hole" as the member is paying the most for drug coverage: - ANSWER Coverage Gap \textbf{Proprietary accounts:}\\ -Secure emails that contain PHI or PII. - ANSWER True - ANSWER Value Plus - ANSWER 209 Ambetter plans to expand access to their value network in Florida. 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 . But how is this fact going to help you sell more health insurance? -Impacts Star Ratings Wellcare's quality focus consists of six drivers. Wellcare offers a robust portfolio of products and plans across _____ states. You pay only $125. 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. Wellcare ACT 2022 (Centene) 29 terms. wildindigoambyy. The Single Sign-On Portal provides access to several applications, including Centene Workbench. Tuesday, February 22 | 2:00PM 3:00PM EST, Territory Manager Generics and brand name drugs are covered on which Part D drug tier/s? 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. - ANSWER False - ANSWER Must include most of the required elements necessary to complete the enrollment - ANSWER Library card 2021 Centene ACT Mastery Exam. \quad\text{Operating/Program Expenses}&\text{2,150,000}\\ f. Disbursements are made from the petty cash fund only after a petty cash receipt has been completed and signed by the payee. - Paper application Fax Submission Cant attend on the 22nd? All PDPs will feature a $0 tier 1 benefit when filled at preferred pharmacies. The ACT with writing includes the four multiple. shibedeleshibe Plus. Which option is the preferred method to submit enrollment? Click here to access the Centene Learning Center. 12. fufa_kasprzak. Wellcare. 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. 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 Classic. Written request to the WellCare Grievance Department. Also, assume that Other Appropriations Realized2019 were zero. 33 terms. - ANSWER Educational Centene continues to expand its reach by offering more products in a wider geography. \quad\text{Unexpended Appropriations-2020}&\text{410,000}\\[5pt] 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. If you are not contracted, pleaserequest the contract hereand return to GarityAdvantage for processing prior to the training. -Secret Shop Finding wellcare. - ANSWER All of the Above What does it mean to be a centrist candidate? Body Composition. -Do not include PHI or PII in the subject line or body of an email. \textbf{Budgetary accounts:}\\ BrenTied. By MARKALLAN , Uploaded: Jul 28, 2022. 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. 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. Remember, there is a 24 hour lockout . 9/27/2018 Realize Your Potential: WellCare Test - SM 2019 ACT Mastery Exam Supporting Your Sales and Marketing kturner1988. - ANSWER True Wellcare added ___ counties to their footprint for 2023. In the . 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. Supporting Your Sales and Marketing Efforts. 29 terms. For example, 2023 Wellcare Journey to a Successful Season will unlock after AHIP is completed. Phone - ANSWER Member Payments 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. }\\ 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. \quad\text{Undelivered Orders-2020}&\text{310,000}\\ Use the following data for this assignment. You must reset your password for the Centene Learning Center (AHIP is still required.) 64 terms . mozi_y. - ANSWER 3 For 2023, Ascension Complete added 27 new counties to their footprint. Not Contracted? Sarah-Yeaple. After you submit your application you may be sent a link to complete an online assessment test. (select all that apply). -Were misled about which providers were in-network. This trial balance was prepared before budgetary accounts were adjusted, such as returning unused appropriations. - ANSWER True 30 terms. - ANSWER 60 , no later than _____ calendar days from the date of the event or the date the member is made aware of the issue. Note: Each course must be completed in order. Which of the following are examples of potential disciplinary actions that could be issues against an agent? Medical Insurance Commissions Medical commissions apply to all metal levels and plans sold on or off Marketplace. AboutDisclaimer Contact us: [emailprotected], Comprehensive Practice for Centenes Tests. The Mobile Scope of Appointment (SOA) & Enrollment platform enables agents to capture/store SOA and complete/submit an enrollment application.