2018 SMMC Dental Quiz

1. An enrollee from Region 5 calls on October 20th and wants to make a plan change for now, and also wants to choose the plan through the new program. How should you proceed in HealthTrack?

Create a task for the current plan change, then choose the new plan by using the new enrollment wizard

Place both enrollment requests in the discrepancy log to be completed by the Resource Desk team

Process the current plan change in the old wizard, then create a task for the new plan request

Complete the current plan change in the old wizard, then choose the new plan by using the new enrollment wizard

2. The recipient is Mandatory for MMA, excluded for LTC and has an active SMI on file. Which SMMC plan types will be available to them?

Only Specialty Plans and Dental Plans

Specialty Plans, Comprehensive Plans and Dental Plans

MMA Plans, Specialty Plans, Comprehensive Plans and Dental Plans

All SMMC and Dental plans will be available to the recipient

3. The recipient is Mandatory for both MMA and LTC. Which SMMC plan types will be available to them?

MMA Plans, the LTC+ Plan, Comprehensive Plans and Dental Plans

The LTC+ Plan, Comprehensive Plans and Dental Plans

Only Comprehensive Plans and Dental Plans

All SMMC and Dental plans will be available to the recipient

4. The recipient is Excluded for MMA and Mandatory for LTC. Which SMMC plan types will be available to them?

The LTC+ Plan, Comprehensive Plans and Dental Plans

MMA Plans, the LTC+ Plan, Comprehensive Plans and Dental Plans

Only the LTC+ Plan and Dental Plans

All SMMC and Dental plans will be available to the recipient

5. A recipient needs more information about what kind of dental surgery DentaQuest will cover. What can you inform them?

6. Miranda Lee asks, "If my plan is still available after everything changes, will I still need to change?" What can you advise Miranda?

“None of the old plans will be available so all recipients will have the opportunity to change.”

7. A recipient states, "I don't want to enroll into a dental plan! My dental provider only accepts Straight Medicaid and I have a dental surgery scheduled for next month." What can you inform the recipient?

8. Gerald Jones states, "I received a letter for myself and my children. My name only has the dental plan information, but my kids have an MMA plan and a dental plan. Where is my MMA plan information?" What can you tell Gerald?

9. An enrollee is upset and states, "I didn't get the letter telling me everything was changing and now you've changed my plan and put me in this random dental plan! I don't even know if I can see my doctor anymore, what am I supposed to do?" What can you advise this enrollee?

10. Emelia Shaw states, "My doctor advised me that the plans will be changing, but you just told me that they aren't available for my area yet. How will I know when the new plans are available to me?" What can you inform Emelia?

11. Marcus Roberts calls in and states, "I got this letter telling me I will need to enroll into a dental plan, but the information I received from my MMA plan also says something about dental coverage. Will more dental services be covered by my dental plan? Which plan covers more?" How can you assist Marcus?

Advise Marcus to contact the MMA plan because they will cover the more expensive services

Advise Marcus to contact AHCA to see which plan will provide more services

Advise Marcus both the MMA plan and the Dental plan will provide the same services

Advise Marcus to contact the MMA plan and the Dental plan to see which services each plan will cover

12. Which enrollment selection will allow you to process a dental enrollment?

Both MMA Enrollment and SMMC Enrollment

MMA Enrollment Only

SMMC Enrollment Only

MMA, LTC and SMMC Enrollment

13. What types of plans are available for this enrollee if they have an active HIV special condition?

MMA Plans, Comprehensive Plans and Dental Plans

MMA Plans and Dental Plans only

MMA Plans and Specialty Plans only

MMA Plans, Comprehensive, Specialty Plans and Dental Plans

14. What plan types will this recipient be able to enroll into?

MMA-only plans, the LTC+ Plan, Comprehensive Plans and Dental Plans

Only the LTC+ Plan and Dental Plans

The LTC+ Plan, Comprehensive Plans and Dental Plans

All SMMC and Dental plans will be available to the recipient

15. If the dentist does not populate in HealthTrack, how should the agent proceed?

Advise the caller to contact the plan after it becomes effective to add the dentist to the enrollment

Refer the caller to the AHCA Medicaid Helpline to get a list of dental providers

2018 Smmc Dental Quiz