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

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ComplianceWire Operating System Compatibility

Call the HCSC Help Desk

at 1-888-706-0583 if you do not have any of the software or have problems accessing the training.

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• Internet Explorer 7-10

• Mozilla Firefox current version + previous 2 versions

• Safari 5 or higher

• Chrome

• Adobe Acrobat Reader 10

• Shockwave 11

• Flash 10

Training Platforms – AHIP Platform

• Access Linkhttp://www.ahipmedicaretraining.com/clients/hcsc

• If you have never used the AHIP platform, create a new account

User ID: National Producer

Number (10-digit NPN#) Example: NPN # is 345678, place zeros in

front to equal 10 digits..0000345678

Password: User generates at profile set-up

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Training Platforms – ComplianceWire

• Access Linkhttp://compliancewire.com/partners/hcscproducers

• Login InformationUser ID &Temporary Password: 10-digit NPN#Example: NPN # is 345678, place zeros in

front to equal 10 digits..0000345678

• Company CodeHCSCProducers

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 1-855-782-4272 (8-5pm CST) for help.

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Objectives

Set expectations

• Deadlines

• Certification launch and closure

• Requirements

• Courses and Exams to be completed

• Communications

• Emails, newsletters and notifications

• Requirements

• 2015 CMS Producer / Broker Training Guidelines are met in all courses, exams and forms

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AHIP Courses / Exam

Courses• 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

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ComplianceWire Course / Exam / Forms

• Sales Agent Requirements Course

• MAPD/PDP Product Course and Exam

• Producer Certification Form

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Sales Agent Requirements Course

Sample Topics*

• Reinforce CMS training requirements

• Introduce and explain deadlines

• Review communications

*Topics not all inclusive

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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

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*Topics not all inclusive

MAPD / PDP Product Exam

Quiz Challenge Exam

LocationAfter each

course moduleAt the end of each course

After the Challenge

Passing Score 85% 85% 85%

# of attempts to achieve 85%

As many as needed

As many as needed

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Random questions pulled from pool

No No Yes

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Quizzes and Challenges and Exams – oh my!

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

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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

AHIP Certificate

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ComplianceWire Certificate

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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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2015 To Do List

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*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.

[Detail]

Go here to view completed course content

Due date will display

12/14/14*

Will not allow the user to complete a task out of order

Task name (course, exam or form)

• 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

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Note: Sub Agents are not deemed certified until the Agency Principal completes the agency certification requirements

2015 Sub Agent

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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

http://tinyurl.com/ProducerTraining2014

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Notification of Certification Completion

• Message • Confirms completion of all 2015 HCSC/HISC

Producer Training & Certification Requirements• Includes link to supply portal

• How• Via email

• When• Emailed approximately 1-3 business days

after certification completion• Who

• Sub Agents (only after Agency Principal completes agency requirements)

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Keep copy for records

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 email • When

• Approximately 7 days after user begins 2015 HCSC/HISC Producer Training & Certification Program

• Who• Sub Agents

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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

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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 email and letter

• When• Mailed in January

• Who• Individual Producers

• Agency Principal

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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.

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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.

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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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