33 terms. During an appointment, you may not discuss any products not agreed to in advance by the beneficiary. Phone 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. 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 ACT 2022 (Centene) 29 terms. \end{array} A Health Risk Assessment (HRA): - ANSWER All of the above Body Composition. - ANSWER True -Were misled about which providers were in-network. , no later than _____ calendar days from the date of the event or the date the member is made aware of the issue. - ANSWER Classic. The beneficiary (or their authorized representative) must indicate the product types to be discussed during the appointment on the Scope of Appointment (SOA). For plan year 2020, WellCare has expanded and enhanced product offering across the country. This webcast provides a great opportunity to get you up to speed on the fastest selling Medicare Advantage product in Worcester Country. You may have an initial screening interview which will be conducted over the phone or in an online format. After your application has been reviewed you will be sent notification of the result. mozi_y. A score of 85% or higher is needed to pass the 2021 ACT Mastery Exam. What are some examples of what can trigger a beneficiary complaint? 2021 Centene ACT training will be unlocked when training becomes available. When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). - ANSWER An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the appointment. True. The beneficiary (or their authorized representative) must indicate the product types to be discussed during the appointment on the Scope of Appointment (SOA). (Select all that apply). There are ___ LIS copay categories that could be assigned to a member, depending on the level of need. Sarah-Yeaple. (select all that apply). -Grievance The following procedures were recently installed by The China Shop: a. - ANSWER True If you suspect inappropriate conduct within WellCare, you should report it to: District Sales Managers - ANSWER four Sarah-Yeaple. Upload your AHIP Certificate on Garitys website. 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. 9/27/2018 Realize Your Potential: WellCare Test - SM 2019 ACT Mastery Exam Supporting Your Sales and Marketing The ACT (no writing) consists of four multiple-choice tests in English, mathematics, reading, and science. Wellcare's quality focus consists of six drivers. Advancing is not available. Click here to access the Centene Learning Center. Unlimited Attempts: You can take the mastery exam as many times as you would like. GarityAdvantage Agencies. Wellcare ACT Know Your Product. 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 continues to expand its reach by offering more products in a wider geography. - ANSWER False after 5/10/2021). \end{array} We're available through e-mail, live chat and Facebook. ( Select all that apply), Verbal coaching Which standalone Prescription Drug Plan is best for "dual-eligible" members? 2022, Carriers, Certification, Training, Webinars, Mass Advantage will present their unique value. Are you contracted with Ambetter yet? - ANSWER True Also, assume that Other Appropriations Realized2019 were zero. Centene is a managed care corporation that acts as an intermediary between government and public health care services. 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). 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 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. %%EOF ______ 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. Grievances may be filed by which of the following methods? 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. ____ new Wellcare and Ascension Complete plans are going to market. There are many different career paths available with Centene. -Secret Shop Finding BrenTied. Fax it into WellCare along with the paper application. \quad\text{Undelivered Orders-2020}&\text{310,000}\\ Starting January 1, 2023, Ambetter Value plan members can access providers in the below list for all medical needs. Sales made during an Open Enrollment or a Special Enrollment Period are eligible. 43 terms. Course Hero is not sponsored or endorsed by any college or university. Centene's Interviews. Overall, the holiday season seems to bring joy and family unity around the world. BrenTied. Wellcare ACT Journey to a Successful Season. SAVEOURRESOURCESCOMMISSIONPreclosingTrialBalanceSeptember30,2020\begin{array}{c} Wellcare's 2022 product expansion represents an 8% increase from 2021. You must reset your password for the Centene Learning Center Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? endstream endobj startxref 2023 Wellcare ACT Mastery Certification Answered. - ANSWER True Centene's 2023 product expansion represents a __% increase from 2022. All sales are rung up on the cash register, and a receipt is given to the customer. 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. After you submit your application you may be sent a link to complete an online assessment test. 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). Wellcare offers a range of Medicare plans to provide members with affordable access to: - ANSWER All of the above %PDF-1.5 % They have 72,500 employees and are headquartered in St. Louis, Missouri. Note: Once certification training requirements are completed, please allow 48 hours for our systems to update. Good Luck! 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. Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. 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. - ANSWER False ,d=CtC.WOB&Q;S&4fgnvb"/}eR[`64 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. HPHC 2023 Stride Training & Certification First Time Visitors: Click on to the Create a New Account link under the First Time Visitor? Fulfilling many needs and wants of society, c. Understanding whether a product will fail. . You pay only $125. 2023 Wellcare ACT Mastery Exam - TeleAgentSub-Course Learn with flashcards, games, and more for free. \quad\text{Allotments-2020}&\text{100,000}\\ Help . 19 terms. 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. - ANSWER All of the above 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. 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. Take a look for yourself below. -Received incorrect plan benefit information or were dissatisfied with plan benefits. -Do not include PHI or PII in the subject line or body of an email. Centene may have you complete more than one interview. -For drugs that are not covered by the new plan, explain the Transition Fill program and how to request a coverage exception. Wellcare ACT 2022 (Centene) 29 terms. 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. - ANSWER Prior to - ANSWER True For example, 2021 Centene Journey to a Successful Season will unlock after AHIP is completed. Follow the Simple Process Below to begin training: We're Here to Help! ____ PDPs will be offered across all 50 U.S. states and Washington, D.C. - ANSWER Three Wellcare. Exam. Request your contracting today, attend the webinar, complete the certs and you will be ready to sell Mass Advantage in a matter of days! Upload your AHIP Certificate on Garitys website. Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - ANSWER Value Script Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a: - ANSWER -Complaint Tracking Module (CTM) Agility Insurance Services, LLC. 30 terms. - ANSWER -Did not consent to enroll in the plan. 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. - ANSWER 50 A link to complete certifications will be sent to attendees after the live broadcast. - Paper Application PDF Upload. Open-Book Exam: The entire training course is available for download in PDF . - eApp Desktop - ANSWER True 2023 Wellcare ACT Mastery Certification Answered. If you are not contracted, pleaserequest the contract hereand return to GarityAdvantage for processing prior to the training. - ANSWER False Once logged in, your $50 discount will be calculated during the payment process. - The bar code is linked with your agent ID and certification status. Pharmacology. 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. \quad\text{Appropriations Used}&\text{4,500,000}\\ This will give you some insight into the type of employee they are looking for and can help you tailor your answers. 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. \quad\text{Plant and Equipment}&\text{8,111,000}\\ 30 terms. 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. - ANSWER Ascend Web/Mobile Application The _________ plan is expected to have one of the lowest premiums in the country! Identify the INCORRECT statement regarding the plan consolidation. My Certifications . - ANSWER True Open-Book Exam: The entire training course is available for download in PDF format . Wellcare's quality focus consists of six drivers. 6. You may have an initial screening interview which will be conducted over the phone or in an online format. Doing word puzzles will help you practice your reading comprehension. 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. 2021 Centene (WellCare) Annual Certification Training, Stand Alone PDPs (Prescription Drug Plans), T65 Medicare Dinners Educational Seminars. Wellcare 2023 Mastery Test. Are you gearing up to start your MFWA training for 2023? All PDPs will feature a $0 tier 1 benefit when filled at preferred pharmacies. 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? For 2023, Ascension Complete added 27 new counties to their footprint. e. Vouchers and all supporting documents are perforated with a PAID designation after being paid by the treasurer. WellCare 2021 Centene Annual Certification Training: Now Available! \textbf{Preclosing Trial Balance}\\ - ANSWER Library card UYW4pH. v By: Michelle M. Saavedra The most wonderful time of the year is here! - ANSWER False Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. The NEW online Centene Workbench self-service portal enables you to: - ANSWER All of the above Be sure to request your contractingtoday to gain access to thesevaluable marketingtools plus all the service and support! Company Registration Number: 61965243 , issue. To ensure accurate data entry, you should repeat the Medicare ID back to the beneficiary. Prior to completing the enrollment form, you should always confirm the beneficiary's primary care physician (PCP) and/or specialists. Wellcare. - ANSWER 3 - ANSWER True What are some examples of steps that can be taken when safeguarding and securing PHI and PII? - ANSWER Member Payments - ANSWER 60 Generics and brand name drugs are covered on which Part D drug tier/s? - ANSWER True Wellcare has added ____ new counties to our footprint in 2022 - ANSWER 327 Study with Quizlet and memorize flashcards containing terms like In the event you need to use a paper Scope of Appointment (SOA) form, it must be completed____ hosting the sales presentation., 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 . All sales are recorded on a record locked inside the cash register. Which stage of coverage is referred to as the "donut hole" as the member is paying the most for drug coverage: - ANSWER Coverage Gap 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. shibedeleshibe Plus. Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare's Medicare Products - ANSWER True Verbal permission granted to discuss plan details qualifies an authorized representative to complete an application on behalf of the beneficiary. 30 terms. Practice4Me 2018-2023, All rights reserved. Education> Exam > 2023 Wellcare ACT Mastery Certification Answered (All) 2023 Wellcare ACT Mastery Certification Answered. - ANSWER -Shred documents that contain PHI or PII using appropriate means. Centene's 2023 product expansion represents a __% increase from 2022. For 2023, Ascension Complete added 27 new counties to their footprint. 30 terms. 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. 2. hb```, By MARKALLAN , Uploaded: Jul 28, 2022. ACT Test Exam Option 2022 . 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. Which of the following are examples of potential disciplinary actions that could be issues against an agent? 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 Prescription Drug Plan (PDP) is best for dual-eligible members? disneyland das. 64 terms . 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. All Wellcare standalone PDP plans will have a $0 Tier 1 preferred retail and mail benefit: - ANSWER True Take time to research the company and the position. 30 terms. Register anyway! Contract completion/submission to GarityAdvantage required prior to attending. Kahoot: unit 3. - ANSWER True AHIP satisfies CMS requirements for which of the following? Value Script and Value Plus PDP products have a ___-tier formulary structure for 2023. Wellcare ACT Mastery Exam. 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 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. - ANSWER 3 For 2023, Ascension Complete added 27 new counties to their footprint. Termination not for cause Be more than ready for plan year 2023! - ANSWER True - ANSWER Educational They offer positions in nursing, customer service and claims, information technology, and many others. Applications can be tracked from start to finish within your Agent Connect portal. \quad\text{Unexpended Appropriations-2020}&\text{410,000}\\[5pt] A complaint or vialation that could not be substaintied and where no pattern of compliance issues exists is a founded complaint. \quad\text{Accumulated Depreciation-Plant and Equipment}&\text{5,350,000}\\ 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. This first interview usually takes around 15 minutes and will focus on your work history. - ANSWER Compliant tracking module, grievance, secret shop finding True. -Had enrollment/disenrollment issues (e.g., disenrollment/cancellation requests, late enrollment penalty, loss of entitlement). Education> Exam > NURSING 3165 Predictor Version 1 Complete. Thoroughly read the directions so you do not make clumsy mistakes due to misunderstanding. Open-Book Exam: The entire training course is available for download in PDF format located in the course Resources. Monday, August 15th, 2PM 4PM EDT. The debits are not distinguished from the credits. . Wellcare Centene Mastery Test 2023. - ANSWER True sammi2895. Key areas you as a Sales Agent / Broker have control over and impact upon regarding Star (Quality) Ratings are - ANSWER All of the Above Open-Book Exam: The entire training course is available for download in PDF format . Which of the following takes place when using the personalized application page while faxing paper applications? 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. ), -eApp Mobile/Tablet \quad\text{Operating/Program Expenses}&\text{2,150,000}\\ Steps to take when safeguarding and securing PHI and PII include - ANSWER All of the Above kturner1988. 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. 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. 0 \quad\text{Other Appropriations Realized-2020}&\text{? - ANSWER True 12. Commissions will be paid on posted premiums applied to the agents or agencys clients eligible cases. 1. Ambetter Value plans are available in: Broward, Clay, Duval, Hillsborough, Lake, Miami-Dade, Orange, Osceola, Palm Beach, Pasco and Seminole counties. There are websites that will help you refresh your mathematical skills. Not Contracted? f. Disbursements are made from the petty cash fund only after a petty cash receipt has been completed and signed by the payee. BrenTied. When you find a position fill out and submit an online application. Which standalone Prescription Drug Plan is best for a dual-eligible chooser? 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 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. Fax \textbf{Budgetary accounts:}\\ -Impacts Star Ratings Member PHI can be stored on an external hard drive or a cloud storage service like Google Drive or Apple Cloud. But before creating any type of content, insurance agents must be able to identify the key traits that characterize their ideal audience.