Wellcare ACT (Centene) Questions and Answers New (2024/2025) Solved 100% Correct

Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? - Answer-All of the Above Verbal permission granted to discuss plan details qualifies an authorized representative to complete an application on behalf of the beneficiary. - Answer-False A passing score of __ or higher must be achieved to successfully complete this course - Answer-85% Agents may be investigated after being suspected of noncompliant activity reported throughSelect all that apply. - Answer-Compliant tracking module, grievance, secret shop finding Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare's Medicare Products - Answer-True All Wellcare standalone PDP plans will have a $0 Tier 1 preferred retail and mail benefit: - Answer-True 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 Any request or distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. - Answer-True Communication of PHI can be: - Answer-Written, Electronic, Verbal For 2022, ______ will no longer be a preferred pharmacy - Answer-Walmart For the 2022 plan year, which health plans will be consolidated into the Wellcare Medicare brand: - Answer-Health Net, Fidelis Care, AllWell, 'Ohana, Trillium Advantage, WellCareKey areas you as a Sales Agent / Broker have control over and impact upon regarding Star (Quality) Ratings are - Answer-All of the Above Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. Wellcare's quality focus consists of six drivers. Which of the following is not a Wellcare quality driver? - AnswerMember Payments Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing: - Answer-True 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 Steps to take when safeguarding and securing PHI and PII include - Answer-All of the Above 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