2023 Wellcare ACT Mastery Certification with Complete Solutions and Correct Answers

A grievance request, or any evidence concerning a grievance, must be filed orally or in writing no later than _____ calendar days from the date of the event or the date the member is made aware of the issue. 60 When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). False Which of the following statements about completing telephonic enrollments is FALSE? Must include most of the required elements necessary to complete the enrollment A passing score of __ or higher must be achieved to successfully complete this course 85% To ensure accurate data entry, you should repeat the Medicare ID back to the beneficiary. True Steps to take when safeguarding and securing PHI and PII include All of the Above An 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 True For 2022, ______ will no longer be a preferred pharmacy Walmart The Part D Senior Savings Model (SSM), which reduces member spending on insulin, will be offered on the Value Script and Value Plus products True Communication of PHI can be: Written, Electronic, Verbal Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare's Medicare Products True Wellcare offers a robust portfolio of products and plans across _____ states. 50 When enrolling a D-SNP beneficiary, be sure to verify plan enrollment eligibility and that the MSP program level is eligible for the requested plan. True Wellcare's 2022 product expansion represents an 8% increase from 2021. True Which stage of coverage is referred to as the "donut hole" as the member is paying the most for drug coverage: Coverage Gap