Advancing is not available. Pharmacology. -Were misled about which providers were in-network. - ANSWER True - ANSWER four An agent may use the Personalized URL (PURL) to compliantly submit an enrollment application on behalf of their beneficiary. Agility Agents have learned from us that incorporating trending themes into their online content strategy plan will help them achieve their marketing goals. %PDF-1.5 % Other Quizlet sets. \textbf{Preclosing Trial Balance}\\ Indicate whether each of the procedures of internal control over cash represents (1) a strength or (2) a weakness. ____ new Wellcare and Ascension Complete plans are going to market. - ANSWER True - ANSWER -Did not consent to enroll in the plan. 64 terms . 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 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. A Health Risk Assessment (HRA): - ANSWER All of the above Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. - ANSWER True Centene's 2023 product expansion represents a __% increase from 2022. This first interview usually takes around 15 minutes and will focus on your work history. Which of the following are examples of potential disciplinary actions that could be issues against an agent? 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} -Never leave laptops, PHI, or PII in an unattended vehicle. Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. shibedeleshibe Plus. Wellcare Centene Mastery Test 2023. }\\ Verbal permission granted to discuss plan details qualifies an authorized representative to complete an application on behalf of the beneficiary. You will want all of your focus to be on the tests. There are many different career paths available with Centene. 411 terms. *Tier 1 copay of $0 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: - ANSWER An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the appointment. Agents may be investigated after being suspected of noncompliant activity reported throughSelect all that apply. hb```, AboutDisclaimer Contact us: [emailprotected], Comprehensive Practice for Centenes Tests. 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 . What does it mean to be a centrist candidate? Wellcare ACT Mastery Exam. 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). By MARKALLAN , Uploaded: Jul 28, 2022. 6. 2023 Wellcare ACT Mastery Exam - TeleAgentSub-Course Learn with flashcards, games, and more for free. \quad\text{Cumulative Results of Operations-10/1/19}&\text{1,009,000}\\ 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. Which option is the preferred method to submit enrollment? b. 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. 30 terms. 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. When you find a position fill out and submit an online application. -Helps ensure WellCare members are able to access care. 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. . 2021 Centene (WellCare) Annual Certification Training, Stand Alone PDPs (Prescription Drug Plans), T65 Medicare Dinners Educational Seminars. 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. Take a look for yourself below. BrenTied. 2. - ANSWER True 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). BrenTied. wildindigoambyy. Centene is a managed care corporation that acts as an intermediary between government and public health care services. - ANSWER -Shred documents that contain PHI or PII using appropriate means. But before creating any type of content, insurance agents must be able to identify the key traits that characterize their ideal audience. - ANSWER True Not Contracted? *Tier 2 and Tier 3 copay of 2.5x the 30 day Preferred. Contract completion/submission to GarityAdvantage required prior to attending. Prescription drugs can be obtained at a preferred cost-share at certain stores/chains. 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. 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). Agility Insurance Services, LLC. 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 . f. Disbursements are made from the petty cash fund only after a petty cash receipt has been completed and signed by the payee. mozi_y. 2023 Wellcare ACT Mastery Certification Answered. If you suspect inappropriate conduct within WellCare, you should report it to: District Sales Managers For 2023, Ascension Complete added 27 new counties to their footprint. Fulfilling many needs and wants of society, c. Understanding whether a product will fail. 30 terms. - ANSWER False - ANSWER 60 This trial balance was prepared before budgetary accounts were adjusted, such as returning unused appropriations. - ANSWER False . Starting January 1, 2023, Ambetter Value plan members can access providers in the below list for all medical needs. Other Quizlet sets. 30 terms. \textbf{Proprietary accounts:}\\ $10. 479 0 obj <> endobj Exam. You may have an initial screening interview which will be conducted over the phone or in an online format. This will give you some insight into the type of employee they are looking for and can help you tailor your answers. - 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. -For drugs that are not covered by the new plan, explain the Transition Fill program and how to request a coverage exception. 505 0 obj <>stream 2022, Carriers, Certification, Training, Webinars, Mass Advantage will present their unique value. 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. All PDPs will continue to offer $0 tier 1 preferred cost-sharing through CVS Medication Home Delivery (Mail Order). 1.1 Accuracy and 2.1 Brevity. A complaint or vialation that could not be substaintied and where no pattern of compliance issues exists is a founded complaint. 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? 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. \quad\text{Undelivered Orders-2020}&\text{310,000}\\ The Single Sign-On Portal provides access to several applications, including Centene Workbench. (Select all that apply), AVL telephonically records SOA via a phone call with the beneficiary Kahoot: unit 3. - ANSWER True 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. 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 . For each weakness, indicate why it exists. Identify the INCORRECT statement regarding the plan consolidation. For PDP Medication Home Delivery, the ____ plan will continue to offer a discount for 90-day tier 2, tier 3 and tier 6 prescriptions. Upload your AHIP Certificate on Garitys website. ), -eApp Mobile/Tablet

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