DSNP 30.5-40.2.5, Questions and answers, 2022/2023. 100% Verified. Graded A

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DSNP 30.5-40.2.5, Questions and answers, 2022/2023. 100% Verified. Graded A How many elections can be made during the MA-OEP? - ✔✔Individuals may make only one election during the MA OEP. ... An individual enrolled in a MA plan as of January 1 may use the MA-OEP during Open Enrollment? T or F - ✔✔False-MA-OEP occurs January 1 - March 31 An individual may add or drop Part B coverage during the MA-OEP? T or F - ✔✔False- Individuals may add or drop Part D coverage during the MA OEP. Individuals enrolled in either MA-PD or MA only plans can switch to original Medicare only. (T or F) - ✔✔• MA-PD • MA-only • Original Medicare (with or without a stand-alone Part D plan) To determine the proper effective date, the MA organization must determine which election period applies to each individual before the enrollment may be transmitted to CMS. (True/False) - ✔✔TRUE An individual is eligible for more than one election period they did not indicate a preferred eff date and the plan is unable to reach them : how is the eff date and election period determined? - ✔✔the organization must assign an effective date using the ranking of election periods. The election period with the highest rank generally determines the effective date of enrollment What is the ranking of the election periods? - ✔✔Ranking of Election Periods: (1 = Highest, 5 = Lowest) 1. ICEP/IEP-D 2. MA OEP 3. SEP 4. AEP 5. OEPI An MA plan does not have to accept disenrollment request during Annual Election period? (T or F) - ✔✔False The MA plan receives a disenrollment request when more than one election period applies. If the member does not make a choice, the plan must give the date that allows for the latest disenrollment. (T or F), - ✔✔False If the member does not make a choice of effective date, then the MA organization must give the effective date that results in the earliest disenrollment. 1What does the MA Organization must provide within 10 calendar days. - ✔✔· Acknowledgement notice · Request for additional information; or · Notice of denial If the plan uses a combined acknowledgment/confirmation notice after receiving a Transaction Reply Report (TRR) indicating a rejection. Will the notice rejection be sent within 10 calendar days? - ✔✔No (need to send within 7 calendar days) [Show More]

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