Supervisor And Team Lead Quiz -10/8-9/2014

10 Questions | Attempts: 38
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Supervisor And Team Lead Quiz -10/8-9/2014 - Quiz


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Questions and Answers
  • 1. 

    A caller calls in to obtain the number to their Local Area Office. How do you proceed?

    • A.

      For this case specific call: access the caller's case, go through verification, provide the number to the area office, and then notate the case.

    • B.

      For this general information call: ask the caller to verify the area they live in and provide the number to the area office.

    • C.

      For this general information call: access the caller's case, provide the number to the area office, and then notate the case.

    • D.

      For this case specific call: access the caller's case, advise the caller on what region they live in, and provide them with the number to the area office.

    Correct Answer
    C. For this general information call: access the caller's case, provide the number to the area office, and then notate the case.
  • 2. 

    A caller calls in to obtain their Open Enrollment Dates. How do you proceed?

    • A.

      For this case specific call: access the caller's case, advise the caller of their OE Dates, and then notate the case.

    • B.

      For this general information call: ask the caller the start date of their plan and provide them with the OE Dates from the Effective Date Chart.

    • C.

      For this case specific call: access the caller's case, go through verification, provide the OE Dates, and then notate the case.

    • D.

      For this general information call: access the caller's case, and advise the caller that you can not provide OE dates over the phone; they will receive a notice in the mail.

    Correct Answer
    C. For this case specific call: access the caller's case, go through verification, provide the OE Dates, and then notate the case.
  • 3. 

    The Public Session Tab has been added to which website?

    • A.

      MyFlorida Website

    • B.

      AHCA Website

    • C.

      Plan Websites

    • D.

      SMMC Website

    Correct Answer
    D. SMMC Website
  • 4. 

    Public sessions are...

    • A.

      Sessions where Choice Counselors are available to meet with members on a more personal basis; to choose the best plan for them.

    • B.

      Sessions where Choice Counselors are available to meet with members for help with enrolling and general questions.

    • C.

      Sessions where Choice Counselors are available to meet with anyone to sign them up for Medicaid.

    • D.

      Sessions where AHCA is available to meet with members about the SMMC program.

    Correct Answer
    B. Sessions where Choice Counselors are available to meet with members for help with enrolling and general questions.
  • 5. 

    What new Complaint Reason has been added to HealthTrack?

    • A.

      Continuity of Care

    • B.

      TPL19-Medicare

    • C.

      Managed Care Exemption Request

    • D.

      ACWM Modifier

    Correct Answer
    A. Continuity of Care
  • 6. 

    Which 'Level of Care' indicator(s) allow recipients to request enrollment into PACE?

    • A.

      PACE

    • B.

      LTCN

    • C.

      LTCC

    • D.

      PACE and LTCN

    Correct Answer
    A. PACE
  • 7. 

    Where do you refer recipients with questions about the level of care on file?

    • A.

      AHCA

    • B.

      LTC Helpline

    • C.

      DOEA

    • D.

      DCF

    Correct Answer
    C. DOEA
  • 8. 

    Where would you verify Medicaid eligibility for a MK recipient?

    • A.

      The LTC Hover

    • B.

      Page 2

    • C.

      ToolKit

    • D.

      History

    Correct Answer
    B. Page 2
  • 9. 

    If a member has active Medicaid and MediKids, which coverage wins?

    • A.

      Neither

    • B.

      FFS

    • C.

      MediKids

    • D.

      Medicaid

    Correct Answer
    D. Medicaid
  • 10. 

    Where would you log a MediKids discrepancy?

    • A.

      MediKids Form

    • B.

      SMMC Discrepancy Log

    • C.

      SMMC Downtime Form

    • D.

      MediKids DAR

    Correct Answer
    A. MediKids Form

Quiz Review Timeline +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 21, 2022
    Quiz Edited by
    ProProfs Editorial Team
  • Sep 30, 2014
    Quiz Created by
    AHSFLTrainer
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