WASTEWATER TREATMENT OPERATOR
EXAMINATION COMPREHENSIVE
QUESTIONS ACCURATE ANSWERS
◉ You can help prevent grievances by: Answer: Always confirming
availability of the beneficiary's primary and specialist providers by
using the provider search tool available on the plan's website.
Always using plan materials to clearly explain plan benefits and cost
(including medications) and check for understanding.
Always confirming a beneficiary's intent to enroll before accepting
their enrollment application.
◉ A broker/agent may be terminated for cause if they fail to comply
with a compliance investigation, encourage others to avoid the
compliance interview process, or fail to provide truthful or complete
information. Answer: True
◉ Wellcare expanded our county footprint in _____ states for 2024.
Answer: Five
◉ All Prescription Drug Plans (PDPs) will continue to offer $0 Tier 1
preferred cost-sharing through Express Scripts Pharmacy (Mail
Order). Answer: True
,◉ With the Pharmacy Benefit Manager (PBM) migration to Express
Scripts effective 1/1/2024, existing members can continue to use
their current ID card 1/1/2024 and beyond. Answer: False
◉ For Prescription Drug Plan (PDP) Medication Home Delivery, the
____ plan will continue to off er a discount (2.5 x 30-day preferred
retail copay) for Tier 2, 3, and 6 prescriptions. Answer: Value Plus
◉ Which is the Prescription Drug Plan (PDP) Preferred Mail Order
network for 2024? Answer: Express Scripts Pharmacy
◉ The beneficiary (or their authorized representative) must indicate
the product types to be discussed during the appointment on the
Scope of Appointment (SOA). Answer: True
◉ Prior to the beginning of the enrollment process, a broker/agent
is required to cover certain beneficiary specific information,
including but not limited to: Answer: All of these
◉ The Single Sign-On Portal provides access to several applications,
including CustomPoint Answer: True
, ◉ An SEP is a period outside of the ICEP, AEP, or MA OEP when
beneficiaries can enroll based solely on life events that qualify for an
SEP period. Answer: True
◉ The Mastery Exam will lock for a period of 48 hours after each
failed attempt. Answer: False
◉ When an enrollment application is completed in Ascend,
brokers/agents can complete a Health Risk Assessment (HRA)
directly in Ascend after the enrollment application, through the
Value-Based Enrollment (VBE) portal. Answer: True
◉ Brokers/Agents MUST complete a Wellcare Contract Recertifi
cation case in Centene Workbench (CWB) every two years. Answer:
False
◉ Brokers/Agents can submit a support ticket online through their
Centene Workbench portal. Answer: True
◉ Wellcare added which state to its footprint for 2024? Answer:
Delaware
◉ What are some examples of steps that can be taken when
safeguarding and securing PHI and PII?
EXAMINATION COMPREHENSIVE
QUESTIONS ACCURATE ANSWERS
◉ You can help prevent grievances by: Answer: Always confirming
availability of the beneficiary's primary and specialist providers by
using the provider search tool available on the plan's website.
Always using plan materials to clearly explain plan benefits and cost
(including medications) and check for understanding.
Always confirming a beneficiary's intent to enroll before accepting
their enrollment application.
◉ A broker/agent may be terminated for cause if they fail to comply
with a compliance investigation, encourage others to avoid the
compliance interview process, or fail to provide truthful or complete
information. Answer: True
◉ Wellcare expanded our county footprint in _____ states for 2024.
Answer: Five
◉ All Prescription Drug Plans (PDPs) will continue to offer $0 Tier 1
preferred cost-sharing through Express Scripts Pharmacy (Mail
Order). Answer: True
,◉ With the Pharmacy Benefit Manager (PBM) migration to Express
Scripts effective 1/1/2024, existing members can continue to use
their current ID card 1/1/2024 and beyond. Answer: False
◉ For Prescription Drug Plan (PDP) Medication Home Delivery, the
____ plan will continue to off er a discount (2.5 x 30-day preferred
retail copay) for Tier 2, 3, and 6 prescriptions. Answer: Value Plus
◉ Which is the Prescription Drug Plan (PDP) Preferred Mail Order
network for 2024? Answer: Express Scripts Pharmacy
◉ The beneficiary (or their authorized representative) must indicate
the product types to be discussed during the appointment on the
Scope of Appointment (SOA). Answer: True
◉ Prior to the beginning of the enrollment process, a broker/agent
is required to cover certain beneficiary specific information,
including but not limited to: Answer: All of these
◉ The Single Sign-On Portal provides access to several applications,
including CustomPoint Answer: True
, ◉ An SEP is a period outside of the ICEP, AEP, or MA OEP when
beneficiaries can enroll based solely on life events that qualify for an
SEP period. Answer: True
◉ The Mastery Exam will lock for a period of 48 hours after each
failed attempt. Answer: False
◉ When an enrollment application is completed in Ascend,
brokers/agents can complete a Health Risk Assessment (HRA)
directly in Ascend after the enrollment application, through the
Value-Based Enrollment (VBE) portal. Answer: True
◉ Brokers/Agents MUST complete a Wellcare Contract Recertifi
cation case in Centene Workbench (CWB) every two years. Answer:
False
◉ Brokers/Agents can submit a support ticket online through their
Centene Workbench portal. Answer: True
◉ Wellcare added which state to its footprint for 2024? Answer:
Delaware
◉ What are some examples of steps that can be taken when
safeguarding and securing PHI and PII?
