Election Period
IEP for MAPD/PDP
ICEP for MA only
What system do the agents use to submit online applications?
JarvisEnroll or third party such as Sunfire
True or False: We need 4 pieces of authentication elements for the member to satisfy HIPAA
False - Full Name, and two of the following:
-Date of Birth
- Perm. Address
- Member Number
-Medicare Number
**OR only one (full name) if located in Jarvis
What is the Election Period for when a client did not receive Part B at the same time time as B, but are now just receiving it?
ICEP
Part B and the plan must have the same ED to be valid.
What system do we use to pull up Member's households (Member account)
GPS
True or False: We are not able to assist contacts who are calling on behalf of another agent with Application Status.
False - if they are able to verify the agents name, and 2 pieces of HIPAA we will treat them like they are the AOR
What is the Election Period for when a client just received Medicaid?
SEP : Change in Dual/LIS Status
Where would an application be in GPS if it is pending for Medicare information such as the MBI?
Work Queue
True or False: When we call an agent and leave a voicemail, it is against HIPAA to include the members full name.
True
What is the Election period for when a client received notice their plan is not being offered in their area for the new year?
SEP Contract Non-renewal
What system is used to view paper applications or missing information received (such as Medicaid award letter, Chronic forms, etc)
VIEW
When speaking with a Member, what pieces of HIPAA must we collect?
Full name, date of birth and one of the following:
Member ID
Medicare Number
Perm. Address
What are the Qualifications to use the Integrated SEP and are they similar to Dual Maintaining?
Allows enrollment once per month into a Fully Integrated Dual Eligible SNP (FIDE), Highly Integrated Dual Eligible SNP (HIDE), or Applicable Integrate Plan (AIP) for full benefit dually eligible individuals who are enrolled in, or are in the process of enrolling in, the D-SNP’s affiliated Medicaid Managed Care Organization (MCO) to align enrollment
No it is quite different
Facets
Does the Principle of an agency have to verify their full name and their Agency's name?
No