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

10 Questions | Total Attempts: 38

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

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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.

  • 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.

  • 3. 
    The Public Session Tab has been added to which website?
    • A. 

      MyFlorida Website

    • B. 

      AHCA Website

    • C. 

      Plan Websites

    • 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.

  • 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

  • 6. 
    Which 'Level of Care' indicator(s) allow recipients to request enrollment into PACE?
    • A. 

      PACE

    • B. 

      LTCN

    • C. 

      LTCC

    • D. 

      PACE and LTCN

  • 7. 
    Where do you refer recipients with questions about the level of care on file?
    • A. 

      AHCA

    • B. 

      LTC Helpline

    • C. 

      DOEA

    • D. 

      DCF

  • 8. 
    Where would you verify Medicaid eligibility for a MK recipient?
    • A. 

      The LTC Hover

    • B. 

      Page 2

    • C. 

      ToolKit

    • D. 

      History

  • 9. 
    If a member has active Medicaid and MediKids, which coverage wins?
    • A. 

      Neither

    • B. 

      FFS

    • C. 

      MediKids

    • D. 

      Medicaid

  • 10. 
    Where would you log a MediKids discrepancy?
    • A. 

      MediKids Form

    • B. 

      SMMC Discrepancy Log

    • C. 

      SMMC Downtime Form

    • D. 

      MediKids DAR

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