2022 centene act mastery exam quizlet

Sarah-Yeaple. But before creating any type of content, insurance agents must be able to identify the key traits that characterize their ideal audience. What does it mean to be a centrist candidate? 2. Quizlet Plus for teachers. 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 The beneficiary (or their authorized representative) must indicate the product types to be discussed during the appointment on the Scope of Appointment (SOA). 9/27/2018 Realize Your Potential: WellCare Test - SM 2019 ACT Mastery Exam Supporting Your Sales and Marketing 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? s_casillas Plus. Open-Book Exam: The entire training course is available for download in PDF format located in the course Resources. - ANSWER True 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 score of 85% or higher is needed to pass the 2021 ACT Mastery Exam. - ANSWER Must include most of the required elements necessary to complete the enrollment 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. Praca (narzdzia) 24 terms. BrenTied. BrenTied. - ANSWER Educational - ANSWER False Which of the following is not. Wellcare's quality focus consists of six drivers. For 2022, ______ will no longer be a preferred pharmacy - ANSWER Walmart 0 fufa_kasprzak. Applications can be tracked from start to finish within your Agent Connect protal. For 2023, Ascension Complete added 27 new counties to their footprint. History test #3 Key terms and people. z!/0z`fx.XuJ}=RZ(l L@A2/M. Follow the Simple Process Below to begin training: We're Here to Help! 12. Contact Broker Support if you have any questions: 800-234-9488. (Select all that apply). For 2023, Ascension Complete added 27 new counties to their footprint. 411 terms. Wellcare Centene Mastery Test 2023. - ANSWER 3 For 2023, Ascension Complete added 27 new counties to their footprint. 33 terms. , issue. For example, 2023 Wellcare Journey to a Successful Season will unlock after AHIP is completed. }\\ All PDPs will feature a $0 tier 1 benefit when filled at preferred pharmacies. . ______ 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. Click here to access the Centene Learning Center. 30 terms. Education> Exam > NURSING 3165 Predictor Version 1 Complete. - ANSWER All of the Above This first interview usually takes around 15 minutes and will focus on your work history. - ANSWER -Shred documents that contain PHI or PII using appropriate means. Returning Users: Enter your Username and Password and click Login. - ANSWER Value Plus - Paper Application PDF Upload. Which of the following statements about Scope of Appointment (SOA) is FALSE? the date of the event or the date the member is made aware of the issue. For example, 2021 Centene Journey to a Successful Season will unlock after AHIP is completed. Unlimited Attempts: You can take the mastery exam as many times as you would like. 505 0 obj <>stream Ambetter plans to expand access to their value network in Florida. Wellcare ACT Know Your Product. 30 terms. - ANSWER False Wellcare offers a robust portfolio of products and plans across _____ states. Remember, there is a 24 hour lockout . Verbal permission granted to discuss plan details qualifies an authorized representative to complete an application on behalf of the beneficiary. - ANSWER False WellCare 2021 Centene Annual Certification Training: Now Available! Steps to take when safeguarding and securing PHI and PII include - ANSWER All of the Above Starting January 1, 2023, Ambetter Value plan members can access providers in the below list for all medical needs. Grievances may be filed by which of the following methods? 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 WellCare 2020. - ANSWER True 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. - ANSWER Ascend Web/Mobile Application Commissions will be paid on posted premiums applied to the agents or agencys clients eligible cases. 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. 64 terms . Note: Each course must be completed in order. - ANSWER True All Wellcare standalone PDP plans will have a $0 Tier 1 preferred retail and mail benefit: - ANSWER True Dental Insurance Commissions The dental commission structure pertains to business with effective dates of 1/1. True. This webcast provides a great opportunity to get you up to speed on the fastest selling Medicare Advantage product in Worcester Country. They offer positions in nursing, customer service and claims, information technology, and many others. -Impacts Star Ratings Education> Exam > 2023 Wellcare ACT Mastery Certification Answered (All) 2023 Wellcare ACT Mastery Certification Answered. Key areas you as a Sales Agent / Broker have control over and impact upon regarding Star (Quality) Ratings are - ANSWER All of the Above When a paper SOA form is used, it must be completed __________ hosting the sales presentation. 2023 New Hampshire Stride Product Rollout& Certification with Harvard Pilgrim, HPHC 2023 Stride Training & Certification. You may include a member name and member ID in the subject line of an email if you are reporting a member concern to WellCare. Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. 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. (AHIP is still required.) Centene continues to expand its reach by offering more products in a wider geography. Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing: - ANSWER True This webcastwill serve as the 2022 training from which brokers can then complete certifications. before proceeding to AHIP and ACT (if you have not accessed the site 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. 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: Be more than ready for plan year 2023! Indicate whether each of the procedures of internal control over cash represents (1) a strength or (2) a weakness. The NEW online Centene Workbench self-service portal enables you to: - ANSWER All of the above Wellcare. Agents can use the Materials Portal to order sales materials and track shipment. Tuesday, February 22 | 2:00PM 3:00PM EST, Territory Manager Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? 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. HPHC 2023 Stride Training & Certification You will want all of your focus to be on the tests. Wellcare. AboutDisclaimer Contact us: [emailprotected], Comprehensive Practice for Centenes Tests. wildindigoambyy. Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a: - ANSWER -Complaint Tracking Module (CTM) You will be asked about your education, past job experience, and your strengths and weaknesses. Amy Donahue 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. 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 . Open-Book Exam: The entire training course is available for download in PDF . f. Disbursements are made from the petty cash fund only after a petty cash receipt has been completed and signed by the payee. Termination not for cause 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} 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. - ANSWER True 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). We're available through e-mail, live chat and Facebook. 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. $10. The beneficiary (or their authorized representative) must indicate the product types to be discussed during the appointment on the Scope of Appointment (SOA). 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. Wellcare PDP is consolidating from six plan offerings to three plan offerings for 2022. 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. *Tier 1 copay of $0 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 . Click hereto access the Centene Learning Center. Fax it into WellCare along with the paper application. Brokers/Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare's Medicare Products. Records and saves the Scope of Appointment (SOA) per CMS regulations via a live agent speaking with the beneficiary Sarah-Yeaple. 2023 Wellcare ACT Mastery Certification Answered. Company Registration Number: 61965243 - ANSWER -Did not consent to enroll in the plan. We can expect to see Christmas decorations just about everywhere. Good Luck! 2022 Centene Act Mastery Exam Answers - Zqpd.tumon.shop. \quad\text{Plant and Equipment}&\text{8,111,000}\\ \quad\text{Depreciation and Amortization}&\text{750,000}\\ \quad\text{Operating/Program Expenses}&\text{2,150,000}\\ Psychometric tests are given to narrow down the pool of potential candidates before deciding who to interview. Advancing is not available. - Paper application Fax Submission GarityAdvantage Agencies. 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. (select all that apply). -Had enrollment/disenrollment issues (e.g., disenrollment/cancellation requests, late enrollment penalty, loss of entitlement). \quad\text{Unexpended Appropriations-2020}&\text{410,000}\\[5pt] -Received incorrect plan benefit information or were dissatisfied with plan benefits. You may have an initial screening interview which will be conducted over the phone or in an online format. Not Contracted? The on-demand video will be sent after the live session. 2021 Centene ACT Mastery Exam Flashcards | Quizlet. In the event you need to use a paper Scope of Appointment (SOA) form, it must be completed____ hosting the sales presentation. wildindigoambyy. Which of the following takes place when using the personalized application page while faxing paper applications? - ANSWER 60 You may have an initial screening interview which will be conducted over the phone or in an online format. - ANSWER An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the appointment. The debits are not distinguished from the credits. 2023 Wellcare ACT Mastery Certification Answered. - ANSWER True \quad\text{Operating Materials and Supplies}&\text{63,000}\\ 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. My Certifications . Which option is the preferred method to submit enrollment? You must reset your password for the Centene Learning Center 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. Also, assume that Other Appropriations Realized2019 were zero. 6. -Confirm coverage of the beneficiary's current and/or anticipated prescriptions. Wellcare's quality focus consists of six drivers. Value Script and Value Plus PDP products have a ___-tier formulary structure for 2023. 5 Social Media Content Ideas for December, blue cross and blue shield of texas bonus program, Bright HealthCare Expands ACA in 42 New Markets, temporary special enrollment period unwinding, unitedhealthcare individual and family plans, Agility Insurance Services welcomes Verisk Financial. \quad\text{Expended Authority-2020}&\text{4,500,000}\\ Wellcare has streamlined standalone PDP offerings from six plans to ___ in all 34 regions across all 50 states and D.C. - ANSWER Three plans Wellcare ACT Journey to a Successful Season. 29 terms. There are many different career paths available with Centene. 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? Wellcare ACT Mastery Exam. By: Michelle M. Saavedra The most wonderful time of the year is here! . 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 first interview usually takes around 15 minutes and will focus on your work history. The ACT (no writing) consists of four multiple-choice tests in English, mathematics, reading, and science. Be sure to request your contractingtoday to gain access to thesevaluable marketingtools plus all the service and support! - ANSWER True Completing the combined Centene Contract will not change your current contract level. 30 terms. 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. For plan year 2020, WellCare has expanded and enhanced product offering across the country. -Helps ensure WellCare members are able to access care. 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 UYW4pH. v - ANSWER False 30 terms. }\\ If you are not contracted, pleaserequest the contract hereand return to GarityAdvantage for processing prior to the training. 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? The following procedures were recently installed by The China Shop: a. \quad\text{Appropriations Used}&\text{4,500,000}\\ wildindigoambyy. Generics and brand name drugs are covered on which Part D drug tier/s? 30 terms. Which stage of coverage is referred to as the "donut hole" as the member is paying the most for drug coverage: - ANSWER Coverage Gap Body Composition. Supporting Your Sales and Marketing Efforts. Which resources are available for download from the Shared Resources section found within Centene Workbench? - ANSWER Library card Contract completion/submission to GarityAdvantage required prior to attending. - ANSWER Compliant tracking module, grievance, secret shop finding - ANSWER 209 Unit 3 Atomic Structure Mini Quiz. Wellcare added ___ counties to their footprint for 2023. Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. Pharmacology. - ANSWER True Take the tests in a quiet place where you can concentrate. Education> Exam > NURSING 3165 Predictor Version 1 Complete. A Health Risk Assessment (HRA): - ANSWER All of the above At that time, any new medical sales commissions due will be paid, starting from the first 2023 application. \quad\text{Accumulated Depreciation-Plant and Equipment}&\text{5,350,000}\\ Medical Insurance Commissions Medical commissions apply to all metal levels and plans sold on or off Marketplace. View WellCare-TEST- SM 2019- EXAM-H2 (1).pdf from CS MISC at Golden West College. If you suspect inappropriate conduct within WellCare, you should report it to: District Sales Managers \quad\text{Cumulative Results of Operations-10/1/19}&\text{1,009,000}\\ \textbf{September 30, 2020}\\ The _________ plan is expected to have one of the lowest premiums in the country! -Do not include PHI or PII in the subject line or body of an email. 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. hb```, -Were misled about which providers were in-network. - ANSWER True Centene's 2023 product expansion represents a __% increase from 2022. %PDF-1.5 % Which of the following materials should you leave with the beneficiary after completing an enrollment into a WellCare Health Plan? Once the enrollment is completed, you can save a copy of the application for your reference. -Secret Shop Finding Which Prescription Drug Plan (PDP) is best for dual-eligible members? 1.1 Accuracy and 2.1 Brevity. BrenTied. , no later than _____ calendar days from the date of the event or the date the member is made aware of the issue. 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Agents may be investigated after being suspected of noncompliant activity reported throughSelect all that apply. 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. 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.