WellCare/Centene: Retroactive Enrollment Reminders
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.