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AHIP Operating System Compatibility

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Presentation on theme: "AHIP Operating System Compatibility"— Presentation transcript:

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2 AHIP Operating System Compatibility
Internet Explorer 8-10 Mozilla Firefox current version + previous 2 versions Safari 5 or higher Chrome Adobe Acrobat Reader 10 Shockwave 11 Flash 10

3 ComplianceWire Operating System Compatibility
Internet Explorer 7-10 Mozilla Firefox current version + previous 2 versions Safari 5 or higher Chrome Adobe Acrobat Reader 10 Shockwave 11 Flash 10 Call the HCSC Help Desk at if you do not have any of the software or have problems accessing the training.

4 Training Platforms – AHIP Platform
Access Link If you have never used the AHIP platform, create a new account User ID: National Producer Number (10-digit NPN#) Example: NPN # is , place zeros in front to equal 10 digits Password: User generates at profile set-up

5 Training Platforms – ComplianceWire
Access Link Login Information User ID &Temporary Password: 10-digit NPN# Example: NPN # is , place zeros in front to equal 10 digits Company Code HCSCProducers Note: Do not use your Social Security # or Tax ID# as login. If unsure of your HCSC-assigned Producer or Agency ID #, call the Producer Service Center at (8-5pm CST) for help.

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7 Objectives Set expectations Deadlines Requirements Communications
Certification launch and closure Requirements Courses and Exams to be completed Communications s, newsletters and notifications 2015 CMS Producer / Broker Training Guidelines are met in all courses, exams and forms

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9 AHIP Courses / Exam Courses Exam Medicare Basics
Medicare Marketing Rules and Regulations Fraud, Waste and Abuse Exam 2015 Final Exam AHIP provides one comprehensive exam for all three courses Must pass with a 90% proficiency score

10 ComplianceWire Course / Exam / Forms
Sales Agent Requirements Course MAPD/PDP Product Course and Exam Producer Certification Form

11 Sales Agent Requirements Course
Sample Topics* Reinforce CMS training requirements Introduce and explain deadlines Review communications *Topics not all inclusive

12 MAPD / PDP Product Course
Sample Topics* MAPD and PDP Product specific Plan designs, formulary and pharmacy network Marketing processes Enrollment Operational processes (e.g., Appeals / Grievances) Available collateral and ordering process Enrollment and billing options Monitoring Program *Topics not all inclusive

13 MAPD / PDP Product Exam Quizzes and Challenges and Exams – oh my! Quiz
Location After each course module At the end of each course After the Challenge Passing Score 85% # of attempts to achieve 85% As many as needed 3 Random questions pulled from pool No Yes

14 AHIP and CW Exams Passing score is 85% for CW on all exams, per CMS guidelines Passing score is 90% for AHIP on exam, per CMS guidelines Three attempts per exam (2 exams) No lockout period Can re-take exam immediately after a failed attempt Please note: Exam questions are randomly selected; not all questions are the same for each attempt

15 Exams: AHIP and CW Answer all exam questions
The exam cannot be submitted unless all questions are answered and the ‘SUBMIT’ button has been selected If a user stops in the middle of an exam and exits the program or is locked out due to inactivity (20 minutes), the exam will not count as long as the ‘SUBMIT’ button was not selected Unlike the courses, the exam will start from the beginning

16 AHIP Certificate

17 ComplianceWire Certificate

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19 Certification Form After courses and exams
Completes certification portion of the 2015 HCSC/HISC Producer Training & Certification requirements Attest to various questions Some responses may initiate a call from Producer Monitoring Enter Producer first and last name 10-digit producer NPN #

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21 2015 To Do List Will not allow the user to complete a task out of order [Detail] Due date will display 12/14/14* Go here to view completed course content Task name (course, exam or form) [this slide is auto-animated] *Please disregard automated ComplianceWire task deadline. HCSC required deadline is Dec. 26, 2014 for sub producers and Dec. 31, 2014 for individual producers and agencies.

22 2015 Sub Agent Annual Information Form Sales Agent Requirements
Medicare Basics course Medicare Marketing Rules & Regulations course 2015 AHIP Final Exam MAPD/PDP Product course MAPD/PDP Product exam FWA course Certification Form Note: Sub Agents are not deemed certified until the Agency Principal completes the agency certification requirements

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24 Certification Landing Page
For your convenience, we’ve created an online resource page that will serve as your single source and guide to certification training throughout the remainder of the certification calendar year. Here you can find: The most up-to-date certification news Information about your login instructions Transferring your AHIP credits to HCSC Useful links [original link name / TinyURL directs to this page]

25 Notification of Certification Completion
Message Confirms completion of all 2015 HCSC/HISC Producer Training & Certification Requirements Includes link to supply portal How Via When ed approximately 1-3 business days after certification completion Who Sub Agents (only after Agency Principal completes agency requirements) Keep copy for records

26 Notice of Certification Incompletion
Message States there are outstanding items for 2015 HCSC/HISC Producer Training & Certification Requirements One task on the to-do list must be completed to alert a notice of certification incompletion How Via When Approximately 7 days after user begins 2015 HCSC/HISC Producer Training & Certification Program Who Sub Agents

27 Notification of Exam Failure
Message Informs producer they failed one of the exams after three attempts thus failing the certification Cannot market, sell or service 2015 Blue Cross MedicareRx and Blue Cross Medicare Advantage plans Blue Cross MedicareRx and Blue Cross Medicare Advantage book of business (CYs 2011 – 2014) is being moved to HISC house account How Via certified letter When Mailed approximately one week after exam failure Who Sub Agents

28 Book of Business Move Notification
Message Due to failure to complete certification requirements your book of business has been moved to the HISC House Account How Via and letter When Mailed in January Who Individual Producers Agency Principal

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30 Continuing Education Credits
Great News! During AHIP course registration, producers will have the option to request the filing of applicable state CE credits for completing the AHIP portion of the certification process. Should you opt to receive CE credits for completing the AHIP portion of the training, the applicable fees must be paid at the individual producer level by credit card. AHIP has applied for 2015 CE credits in each applicable state and the approvals are currently pending.

31 Continuing Education Credits
Below is an example of the 2014 AHIP CE credit hour and fee information. Credit Hours State Filing Fee 6 IL $25.50 6 MT $28.50 6 NM $22.50 4 OK $26.50 8 TX $28.50 Producers should confirm with state Departments of Insurance to confirm credits are applied.

32 Additional Information
SM Service Mark of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans ® Registered Service Marks of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans Blue Cross MedicareRx is a prescription drug plan provided by HCSC Insurance Services Company (HISC), an independent licensee of the Blue Cross and Blue Shield Association. A Medicare-approved Part D sponsor. Blue Cross Medicare Advantage HMO and HMO POS plans in Illinois and New Mexico and PPO plans in Montana, New Mexico and Oklahoma are provided by Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC). Blue Cross Medicare Advantage Dual Care is an HMO Special Needs Plan provided by HCSC. Blue Cross Medicare Advantage PPO plans in Texas are provided by HCSC Insurance Services Company (HISC). Blue Cross Medicare Advantage HMO and HMO POS plans in Oklahoma are provided by GHS Health Maintenance Organization, Inc. d/b/a BlueLincs HMO (BlueLincs). HCSC, HISC, and BlueLincs are independent licensees of the Blue Cross and Blue Shield Association. HISC and BlueLincs are Medicare Advantage organizations with a Medicare contract. HCSC is a Medicare Advantage organization with a Medicare contract and a contract with the New Mexico Medicaid program.


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