Supervisor And Team Lead Quiz 11/5-6/2014

10 Questions | By AHSFLTrainer | Updated: Oct 6, 2022 | Attempts: 57

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Questions and Answers

1.

If an infant is born on November 6, what date will the newborn's plan be effective?
- A.
  
  January 1
- B.
  
  December 1
- C.
  
  October 1
- D.
  
  November 1
2.

Members being transitioned from First Coast Advantage to Molina will not receive 90 days to 'try out' the plan.
- A.
  
  True
- B.
  
  False
3.

Recipients enrolled in PACE will now show up in HealthTrack under LTC as Mandatory because__________.
- A.
  
  The enrollee is enrolled into a LTC plan.
- B.
  
  The enrollee will no longer lose their Level of Care.
- C.
  
  The enrollee can change from PACE to a LTC plan.
- D.
  
  The enrollee will no longer lose Medicaid coverage.
4.

Call recording resumes on _________?
- A.
  
  October 31
- B.
  
  November 3
- C.
  
  December 3
- D.
  
  November 1
5.

Before the LTC cut-off date, if a LTC auto-assignment has processed and the caller does not want that plan, how should the agent proceed?
- A.
  
  The agent should place the request on the discrepancy log.
- B.
  
  The agent should confirm the auto-assignment and explain that no change can be made at this time.
- C.
  
  The agent should tell the caller to call back after the cut-off date.
- D.
  
  The agent should process the change through the wizard.
6.

Special Condition spans: ‘LTC Non-COMP’ and ‘SMMC COMP Enrolled' are added as a member's special condition based on____________?
- A.
  
  LTC or Comprehensive needs.
- B.
  
  MMA Eligibility
- C.
  
  LTC or Comprehensive enrollments.
- D.
  
  LTC Eligibility
7.

Where should you refer LTC recipients who need additional assistance with changing from a PACE plan?
- A.
  
  Local Area Office
- B.
  
  Elder Helpline
- C.
  
  CARES
- D.
  
  DCF
8.

If an infant's mom does not want the plan the newborn is being enrolled into,___________.
- A.
  
  Process the request through the wizard.
- B.
  
  Place the request on a discrepancy log.
- C.
  
  Inform mom the plan cannot be changed.
- D.
  
  Inform mom she has to change her plan first.
9.

How will PACE enrollees receive their medical services?
- A.
  
  Through PACE because PACE covers medical and LTC services.
- B.
  
  Through straight medicaid/FFS.
- C.
  
  Through a MMA plan.
- D.
  
  Through a LTC plan.
10.

The OE/Lock-In dates of a one-time offer to sync enrollment will follow the OE/Lock-In dates of___________.
- A.
  
  The new plan.
- B.
  
  The initial LTC enrollment.
- C.
  
  The initial MMA enrollment.
- D.
  
  The current plan.