UHC Certification Board Exam Questions and Answers 2023/2024

UHC Certification Board Exam Questions and Answers 2023/2024 When does the Special Election Period for Dual/LIS Change in Status begin for DSNP members that lose Medicaid eligibility? a) The month after they are notified by the plan of the loss of Medicaid eligibility b) Upon notification or effective date of the loss, whichever is earlier c) After the grace period ends d) Six months after they have been disenrolled from the DSNP - correct answer b) Upon notification or effective date of the loss, whichever is earlier Which consumer might benefit the most by enrolling in a DSNP? a) Alice, who is a Specified Low-Income Medicare Beneficiary (SLMB) b) Joe, who receives Qualified Medicaid Beneficiary benefits (QMB+) c) Alvin, who has a Medicare Supplement Insurance policy d) Elsa, who pays a Part D income-related monthly adjustment amount (IRMMA) - correct answer b) Joe, who receives Qualified Medicaid Beneficiary benefits (QMB+) Which statement best describes a care management program that varies depending upon the level of the member's health risk? a) Support provided only to DSNP members that may have unique health care needs b) Support provided only to CSNP members that may have unique health care needs c) Support provided only to members who have multiple chronic conditions and receive state Medicaid benefits d) Support provided to CSNP and DSNP members that may have unique health care needs - correct answer Which statement best describes a DSNP? a) DSNPs are non-network based plans, which enables members to see any Medicare-eligible provider b) DSNPs do not include prescription drug coverage, so a member may enroll in a stand-alone Prescription Drug Plan in addition to their DSNP c) The monthly premium is at or below the Low Income Subsidy benchmark to cover drug costs d) The state government pays half of the plan premium - correct answer c) The monthly premium is at or below the Low Income Subsidy benchmark to cover drug costs