Wellcare ACT 2024 (Centene) | Questions and Verified Solutions Latest Solutions

Wellcare ACT 2024 (Centene) | Questions and Verified Solutions Latest Solutions 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. - Answer - 60 When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). - Answer - False Which of the following statements about completing telephonic enrollments is FALSE? - Answer - 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 - Answer - 85% To ensure accurate data entry, you should repeat the Medicare ID back to the beneficiary. - Answer - True Steps to take when safeguarding and securing PHI and PII include - Answer - 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 - Answer - True For 2022, ______ will no longer be a preferred pharmacy - Answer - 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 - Answer - True Communication of PHI can be: - Answer - Written, Electronic, Verbal Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare's Medicare Products - Answer - True Wellcare offers a robust portfolio of products and plans across _____ states. - Answer - 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. - Answer - True Wellcare's 2022 product expansion represents an 8% increase from 2021. - Answer - True Which stage of coverage is referred to as the "donut hole" as the member is paying the most for drug coverage: - Answer - Coverage GapNoting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing: - Answer - True Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? - Answer - All of the Above Wellcare PDP is consolidating from six plan offerings to three plan offerings for 2022. Identify the INCORRECT statement regarding the plan consolidation. - Answer - The agent of record will not remain with the member after the consolidation.