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Level 2 - Enrollment & Providers

Quiz by Ashley Jones

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20 questions
Show answers
  • 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 categories
    Sorting
    60s
  • Q5

    A member calling to cancel their application before the effective date is classified as a disenrollment.

    false
    true
    True or False
    30s
  • Q6

    When leveraging the MARX system to complete research for a member, what STC is used to document that action?

    Users enter free text
    Type an Answer
    45s
  • Q7

    You will use STC CP009 when a member request a replacement ID card.

    false
    true
    True or False
    45s
  • 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 categories
    Sorting
    60s
  • Q11

    Match the maximum distance requirement with the County and Provider.

    Users link answers
    Linking
    120s
  • 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

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