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BlueCross BlueShield (HCSC)

BlueCross BlueShield (HCSC)

2022 Certifications Available July 7th

Please note that 2022 BCBS product certifications do NOT count for 2021 BCBS products. If you enroll someone in a 2021 BCBC product and you have NOT completed your 2021 BCBS product certification then you will NOT get paid for that enrollment.

 

Step 1 – Complete the 2022 AHIP Medicare Training and transmit your transcript to HCSC (Health Care Service Corp). If you are currently contracted with HCSC you can access the AHIP through their certification site.

Along with HCSC, I sell MAPD/PDP plans for another company. I completed the AHIP course, but didn’t use the HCSC/AHIP link. How can I transfer my AHIP course credits to HCSC?

Producers who have completed the AHIP course for another MAPD/PDP plan may transfer AHIP credits to HCSC.

        • Log into the AHIP/HCSC site: http://www.ahipmedicaretraining.com/clients/hcsc
        • Click on the AHIP course completion (by opening your completion via the HCSC/AHIP link, it has now been transferred to HCSC)
        • Log into the CMP site
        • Click on the AHIP Medicare Training and your completion will be listed
        • Click on “Transfer credits to HCSC” located in the upper right hand corner

Step 2 – Complete your 2022 BCBS – HCSC product certification using the following link: http://hcsc.cmpsystem.com

If you have not previously registered on this site you will need to do so.  You will need your 9 digit BCBS producer or sub-producer number (depending on how you’re contracted with BCBS) when registering. IMPORTANT – If you are a sub-producer under your agency, you will NOT be completely certified (Ready-To-Sell) until your agency principle registers and logs in with the AGENCY 9 digit producer number and completes the Agency attestation for each product year.

Current users will log into the HCSC/CMP site using the link above.  Users will be directed to validate their NPN and profile page including their demographic information.  Once the profile has been validated, users will be directed to their do list.  The user’s to do list will be displayed in the following order.

        • 2022 AHIP Course
        • 2022 Sales Agent Requirements Course
        • 2022 MAPD/PDP Course
        • 2022 MAPD/PDP Exam
        • 2022 Producer Certification Form
        • 2022 Producer Amendment (applicable for individual producers and entities)

Please click on the first task listed as the 2022 AHIP Course.  You will be directed to the AHIP course on the AHIP platform.  Upon completing the AHIP course, you will be directed back to the HCSC page in the upper right hand corner.   On the HCSC page, first HCSC training course will be unlocked. As you complete each course, the next one will automatically unlock.

How many attempts do I have to pass the AHIP and the HCSC exams?

Both AHIP and HCSC allow three attempts to pass the exams for certification. Should an agent fail the AHIP exam, they may repurchase another AHIP course at the $125 fee and be allowed to retake all AHIP courses/exams. Agents may repurchase the AHIP course as many times as they would like.

Although rare, a producer that uses up their three attempts during the HCSC curriculum will be locked out from the certification process and will not be able to certify to sell, market, or service 2022 MAPD or PDP products.

I submitted an exam and it indicated that I “Failed” to pass with the required passing score. How quickly may I take the exam again?

The system will allow producers to take a subsequent exam almost immediately. Please keep in mind, upon the third exam failure, a producer will be locked out of the system for the 2022 MAPD/PDP plan year.

I have started the curriculum, but was interrupted and had to return. Will I receive credit for work already performed such as “previously started” exam?

Yes. If for some reason your training is interrupted, you will be locked out after an hour of non-use.  When you log back in, you will be able to pick up where you left off. You will receive credit for all prior course work completed but not for any exams in progress. If you were in the process of completing an exam, you will be required to start the exam over from the beginning.

What is the passing score for the HCSC certification exam and the AHIP exams?

The HCSC passing score is 85%, and the AHIP passing score is 90%.

What is considered an exam completion attempt?

A completion attempt occurs only after clicking the exam’s “Submit” button.

What are the annual MAPD/PDP certification requirements for each HCSC producer type?

Agency Principals, Producers, Sub-Producers and Agencies are required to complete the certification tasks. Below is a high level overview to help guide producers.

Agency Principals, Individual Producers and Sub-Producers must complete the following tasks:

Part 1: The AHIP platform will be used for the following courses/exams/forms.

        • Medicare Basics
        • Medicare Marketing Rules and Regulations
        • Non-Discrimination Training (including a short exam)
        • Fraud, Waste and Abuse (FWA)/General Compliance Attestation
        • FWA Exam
        • Final Exam

Part 2: The HCSC/CMP page on the AHIP platform will be used for the following courses/exams/forms.

        • Sales Agent Requirements course
        • MAPD/PDP Product course and exam
        • Producer or Agency Certification Form
        • Producer or Agency Amendment (this doesn’t apply to Sub Producers)

All Agency Types (Agency, EGA, FMO, GA, NMO and TMO)
All agency tasks are only available on the HCSC/CMP site.  Agency Principals must complete the following tasks:

        • Agency Certification Form
        • Agency Amendment

Note: To certify an agency, all principals (non-selling and selling) must complete their sub-producer training and the assigned agency curriculum tasks.

How long does it take to complete the curriculum and exams?

Because each individual has his or her own reading comprehension and testing abilities, we cannot provide an exact time for completion.

How will I know when I have successfully completed the annual MAPD/PDP certification process?

Upon successful completion, producers will receive a completion certificate via the HCSC/CMP site and a congratulatory email. This message which will be sent to the email address provided to Producer Administration upon onboarding.

I believe I completed all of the requirements for the 2022 MAPD/PDP certification, but I did not receive the congratulatory email. Who can I contact?

Confirmation emails should be received within two to three business days of completion and will be sent to the email address provided to Producer Administration upon onboarding. If producers need to contact us, they can send an email requesting MAPD/PDP certification verification to bcmrxcertification@bcbsil.com

    • Here’s a tip: For quicker service, provide your full name and your National Producer number.

Will I be notified if I started a course and did not complete it?

Notification of incompletion will be sent by email approximately seven days after the producer begins the certification process and has failed to complete the training.

I sell MAPD/PDP products in multiple states. Will my certification completion satisfy the HCSC requirement for the other states?

The certification you have completed in one state will satisfy the requirements for all states: BCBSIL, BCBSMT, BCBSNM, BCBSOK, and BCBSTX.

What if I have technical problems? Who do I call?

AHIP Site and Curriculum Technical Support:
866-234-6909 or support@AHIPInsuranceEducation.org

HCSC/CMP Site and Curriculum Technical Support:
888-706-0583 or bcmrxcertification@bcbsil.com

General questions about the certification requirements: 
Producer Service Center: 855-782-4272 or contact your HCSC representative.

SIGNIFICANT MAPD/PDP CERTIFICATION DATES

When will I be able to begin the 2022 MAPD/PDP annual certification process?

June 21, 2021 (2022 AHIP Curriculum launches)
July 7, 2021 (2022 HCSC Curriculum will launch)

Here are the important dates for the 2020 Annual MAPD/PDP Certification Process:

        • June 21, 2021 – 2022 AHIP Curriculum opens for producers
        • July 7, 2021 – 2022 HCSC Curriculum opens for producers
        • December 24, 2021 – 2022 Renewal Commission Deadline: HCSC Certification will close for sub-producers at 11:59 p.m.
        • December 31, 2021 – 2022 Renewal Commission Deadline: HCSC Certification will close for all individual producers and agencies at 11:59 p.m.
        • January 3, 2022 – 2022 Certification will reopen for Feb. 2022 effective dates and beyond

Important Deadline Notice: To retain all renewals, producers/agencies must certify by December 31, 2021.

Producers, sub-producers and agencies who fail to complete their annual certification by the respective deadlines listed above, will no longer be able to receive renewal commissions for in-force Blue Cross MedicareRxSM or Blue Cross Medicare AdvantageSM business written for 2009 and subsequent plan years.

Renewal commissions for in-force business written in 2008 or prior years will not be affected because the annual certification requirement did not occur until 2009..

2022 AGENCY CERTIFICATION REQUIREMENTS

How will the principal of an agency be notified to complete the Agency Amendment?

Agencies will receive an email that their principal has completed their sub-producer curriculum.

Important: The Blue Cross Medicare Options team requires agencies to complete the required Medicare Amendment and forms by October 1, 2021. Failure to certify the agency prior to a sub-producer submitting business will result in the loss of that business. This is because the sub-producer is not deemed certified until their agency certification tasks have been completed.

Is the agency principal required to take the annual MAPD/PDP certification curriculum if they do not sell MAPD/PDP products?

Agency principals, selling and non- selling, must complete the entire curriculum under their sub-producer NPN number. They must also execute the Agency Amendment and Certification documents.

My agency is adding new sub-producers during the annual MAPD/PDP certification period to market these products. What is my agency required to submit? What is the process for having them added as a sub-producer?

Please contact the Producer Service Center for more information specific to your agency. The number is toll-free: 855-782-4272.

I am a sub-producer for an agency and want the compensation amounts set for the 2022 plan year.

Your agency principal will have the commission schedule for the 2022 plan year. The Blue Cross Medicare Options team does not release commission related information to sub-producers without express permission from the principal.

CONTINUING EDUCATION OPPORTUNITY

Will I receive Continuing Education (CE) credits for taking and passing the annual MAPD/PDP certification requirement?

Yes. You may purchase CE credits upon completing the AHIP course. All fees and CE credit hours will be available on the AHIP site.

Will AHIP submit the hours to the state for CE credits?
Yes.

COMMISIONS: WHY YOU SHOULD CERTIFY NOW

I submitted an application that will be effective January 1, 2022. I completed the annual MAPD/PDP certification but not prior to writing and submitting the application. Will I be paid for that policy?

No. Federal law requires that a producer complete the annual certification prior to selling, soliciting or negotiating a MAPD/PDP policy. In this instance, commissions would not be paid for that policy.

What are the commission amounts for the 2022 MAPD/PDP products?

The commission schedules will be listed within your producer/agency amendment, which is completed as part of the certification process. Please refer to this amendment.

For any other MAPD/PDP commission related questions, please contact the Producer Service Center toll-free at 855-782-4272 or by email at producer_service_center@bcbsok.com.