WellCare/Centene Announcement from 11/13/20:
Retroactive Enrollment Reminders
Did You Know – CMS monitors and scrutinizes retroactive enrollments that result from broker errors during the initial enrollment application process? As such, these largely preventable, broker-related errors present compliance issues for Centene that may have downstream effects on any related broker contractual arrangements. As a best practice, please review all applications prior to submitting to ensure accuracy of the submission.
For further insight, we have identified some of the most common mistakes to watch for:
- Incorrect effective dates selected
- Plan name and plan number mismatches
- Missing required information, and no responses to our requests for information
- Incorrect plan segment (PBP) selected by agent during agent assisted web application
If you have any further questions, please contact your Cornerstone rep.
Centene is pleased to announce their 2021 Star Ratings!
Each year, the Centers for Medicare & Medicaid Services (CMS) issues objective ratings on all Medicare Advantage and Medicare Drug plans to determine if they provide high-quality care for their members.
These quality scores include several factors, such as the clinical care members receive, their service experience, and member feedback detailing how well plans did in various categories. Using a one through five-Star rating system, CMS evaluates nearly 50 measures, broken into multiple areas.
Centene oversees CMS Star measures and performance within five chapters:
- Admin/Ops (service quality)
- CAHPS (member satisfaction)
- HEDIS (clinical services)
- HOS (Health Outcomes Survey)
- Pharmacy (taking prescribed medications)
Achieving positive quality ratings is vital. These ratings are crucial to Centene members, brokers and partners, and their overall growth. With CMS’ increased focus on patient experience and access to care, Centene must continue to put members first and empower them to partner with their providers to make good healthcare decisions.
Downloadable 2021 Star Ratings:
- Click here to access 2021 Star Ratings for all Centene health plans.
NOTE: 2021 Star Ratings are state- and product-specific.
Action Required: Please ensure that you are distributing the most current 2021 Star Ratings. Be sure to dispose of any outdated Star Ratings.
WellCare communication from 10/26/20:
WellCare’s transition to a new broker payment vendor is delayed. Originally the transition was to take place on October 30, 2020; now, it will take place on November 13, 2020.
- The first payout using the new vendor will take place on November 13, 2020.
- You will continue to receive payment through our existing process and vendor until the transition is completed.
There will be no interruption in broker payments, as we transition to the new broker payment vendor.
If you have any questions, please contact your CSM service representative.
WellCare Message from 10/2/2020:
|AEP is Here! AEP is finally here, and the combination of Centene and WellCare means greater opportunity for you!
Now, you can market and sell up to 5 health plans!
Note: Not all health plans are available in all areas.
The easiest and fastest way to ensure that you are offering all plans available in your area and you are credited for each sale is to use the Ascend Enrollment Platform. (Currently, Ascend cannot be used for Fidelis Care enrollments.)
Application and Enrollment
It is crucial that all applications include the correct agent identifier. Ascend will automatically attach your agent identifier to each application you submit: National Producer Number (NPN), Producer ID (PID), or Fidelis Care ID.
When submitting applications OUTSIDE of the Ascend Enrollment Platform, be sure to input the correct agent identifier:
*Fidelis Care Notes:
Fidelis Care does not accept paper applications.
All health plan information has been loaded into Ascend. Please note, 2021 Enrollment Applications will not be accessible until 10/15.
As of 10/1 you should be able to access 2021 rates and benefits in the Ascend Mobile App. If you are not able to access 2021 plan information, please be sure to update the App. Click here for information on how to download and update the Ascend Mobile App.
Warning! Beginning 10/1/2020, the WellCare Mobile Enrollment Platform and Desktop Enrollment Platform (agent assisted) will be retired and no longer accessible.Â You will find our 2021 plans, benefits, rates and enrollment capabilities in Ascend.
Click here for Application & Enrollment Tools.
2021 CMS Enrollment Guidance Policy Revisions
The Centers for Medicare & Medicaid Services (CMS) has issued annual enrollment and disenrollment guidance revisions for contract year 2021.
All enrollments with an effective date on or after January 1, 2021, must be processed in accordance with the revised guidance requirements.
Significant Changes To Guidance:
News provided by WellCare- August 3, 2020:
TAMPA, Fla. and BIRMINGHAM, Ala., Aug. 3, 2020 /PRNewswire/ — WellCare, a wholly owned subsidiary of Centene Corporation, announced today an industry-leading partnership with Shipt, a same-day delivery service, to help Medicare Advantage members safely and conveniently access groceries and everyday essentials throughout 2020, providing them with a critical service during the COVID-19 pandemic.
A combined Centene Broker Contract is now available. Contracting must be completed as soon as possible but no later than September 30, 2020.
Click here to access the contracting documents and process notes.