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

10 Questions | Total Attempts: 34

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

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.

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