Centene ACT ME Review | with 100% Correct Answers

Agents may be investigated after being suspected of noncompliant activity reported through a Complaint Tracking Module (CTM), grievance, secret shop finding, internal audit or reporting. - True Which of the following health plans are now available through Centene Corporation? Select the best answer. - Health Net, Fidelis Care, Allwell, Ascension Complete, WellCare True or False: The four stages of coverage are NOT the same for PDP and MAPD. - False True or False: PII stands for Personally Identifiable Information and includes any information that permits the identity of an individual to be inferred, including information linked or linkable to the individual. - True True or False: When enrolling a beneficiary, you should ensure that you enter the provider ID of a specialist and not a primary care physician (PCP). - False True or False: An agent could be terminated for cause if they fail to comply with a compliance investigation, encourage others to avoid the compliance interview process, or fail to provide truthful or complete information. - True True or False: A complaint or violation that could not be proven and where no pattern of compliance issues exists is a founded complaint. - False Beneficiaries who are first eligible for Medicare have a seven-month Initial Enrollment Period to enroll in a Medicare Advantage Plan. If eligible for Medicare, beneficiaries can sign up during the seven-month period that: - All the above True or False: Centene will offer 6 Part D standalone plans in all 34 regions across all 50 states; 204 plans nationwide. - True