Level 2 - Enrollment & Providers
Quiz by Ashley Jones
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- Q1
What enrollment period runs from January 1 through March 31 every year?
ICEP
MAOEP NEW
MAOEP
AEP
30s - Q2
What enrollment period runs from October 15 through December 7 every year?
AEP
MAOEP
ICEP
MAOEP NEW
30s - Q3
For how many total months does an individual's ICEP run?
7
6
3
9
30s - Q4
Which of the following are examples of SEP qualifying events?
Users sort answers between categoriesSorting60s - Q5
A member calling to cancel their application before the effective date is classified as a disenrollment.
falsetrueTrue or False30s - Q6
When leveraging the MARX system to complete research for a member, what STC is used to document that action?
Users enter free textType an Answer45s - Q7
You will use STC CP009 when a member request a replacement ID card.
falsetrueTrue or False45s - Q8
The Benefits Grid will list a member's applicable Part B Premium Reduction as a:
Debit
Rebate
Discount
Credit
60s - Q9
Which of the following is NOT an acceptable means by which a member can request to disenroll from CarePlus?
Completed CPHP Disenrollment Form
Handwritten letter
Faxed letter
Verbal request
30s - Q10
Categorize the providers:
Users sort answers between categoriesSorting60s - Q11
Match the maximum distance requirement with the County and Provider.
Users link answersLinking120s - Q12
What is the mailing timeframe for a replacement member ID card?
Up to 7 business days
Up to 10 calendar days
Up to 7 calendar days
Up to 10 business days
60s - Q13
How long is the standard mailing timeframe for a printed Provider Directory?
Up to 10 calendar days
Up to 7 calendar days
Up to 10 business days
Up to 7 business days
60s - Q14
Randall Cunningham's Part A became effective on 01/21/2021. His Part B wasn't effective until 03/18/2021. He selected Humana Medicare Advantage plan at the time of enrollment, but now wants to switch to CarePlus. Under the MAOEP NEW election period, what is the latest date Randall can apply for enrollment into CarePlus?
05/31/2021
06/18/2021
03/21/2021
03/31/2021
120s - Q15
Sheryl Crow called in on 07/26/2021 requesting to change her PCP, and that she will need to be seen by the new PCP next month ahead of overseas travel. What PCP change will you file?
Standard PCP change effective 09/01/2021
Retroactive PCP change effective 07/01/2021
Exception PCP change effective 08/01/2021
Exception PCP change effective 09/01/2021
120s