Download Wellcare 2024 Mastery Test exam Questions with 100% Correct Answers | Verified | Updated and more Exams Advanced Education in PDF only on Docsity! Wellcare 2024 Mastery Test exam Questions with 100% Correct Answers | Verified | Updated Once the enrollment is completed, you can save a copy of the application for your reference. - Correct Answer-False Which elements are available as part of Wellcare's sales support model? - Correct Answer-All of the above. Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. - Correct Answer-True Communication of PHI can be: (Select all that apply.) - Correct Answer--Written -Electronic -Verbal Prior to completing the enrollment form, you should always confirm the beneficiary's primary care physician (PCP) and/or specialists. - Correct Answer-True Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. Select one: - Correct Answer-True A Health Risk Assessment (HRA) can be completed for C-SNP and D-SNP plans only, before the enrollment application process in Ascend through the Value Based Enrollment (VBE) portal. - Correct Answer-False Beneficiary-facing content that includes generic or plan-specific product or benefit information must be submitted for review and CMS submission, as well as acceptance or approval, prior to distribution. - Correct Answer-True A broker/agent who has never had any verbal warnings cannot be issued a Corrective Action Plan. - Correct Answer-False The NEW online Centene Workbench self-service portal enables you to: - Correct Answer-All of the above What are some examples of what can trigger a beneficiary complaint? - Correct Answer-Select All! a.Did not consent to enroll in the plan. b.Received incorrect plan benefit information or were dissatisfied with plan benefits. c.Had enrollment/disenrollment issues (e.g., disenrollment/cancellation requests, late enrollment penalty, loss of entitlement). d.Were misled about which providers were in-network. Member PHI can be stored on an external hard drive or a cloud storage service like Google Drive or Apple Cloud. - Correct Answer-False What type of inquiries can Wellcare's Corporate Sales Support team assist with? - Correct Answer-All of the above Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? - Correct Answer-All of the above Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted electronic enrollments. - Correct Answer-True Key areas you as a broker/agent have control over and impact upon regarding Star Ratings for quality are: - Correct Answer-All of the above Low-Income Subsidy (LIS)/Medicaid Lookup status verification in Ascend is: - Correct Answer-Select All! a.Available for LIS level searches in all states. b.Available for Medicaid status searches in select states. c.A way to assist brokers/agents with enrolling beneficiaries into the right plan based on their extra help status. The beneficiary (or their authorized representative) must indicate the product types to be discussed during the appointment on the Scope of Appointment (SOA). - Correct Answer-True Value Script and Value Plus PDP products have a ___-tier formulary structure for 2023. - Correct Answer-6 The Wellcare preferred pharmacy network includes Walgreens, CVS, and many grocery chains in 2023. - Correct Answer-True All PDPs will continue to offer $0 tier 1 preferred cost-sharing through CVS Medication Home Delivery (Mail Order). - Correct Answer-True The Part D Senior Savings Model (SSM), which reduces member spending on insulin, will be offered on all Value Script, Value Plus PDPs, and select Wellcare MAPD plans. - Correct Answer-True
