Care UPDATED ACTUAL Exam Questions
and CORRECT Answers
Which types of Medicare Advantage plans need to submit a Model of Care? - CORRECT
ANSWER - Only Special Need Plans (SNPs)
Who creates the requirements for a Model of Care? - CORRECT ANSWER - CMS (the
federal government)
Compared to members just on Medicare, dual eligibles are more likely to - CORRECT
ANSWER - A + B (Be younger than 65 and Be older than 85)
Compared to individuals just on Medicare, dual eligibles are more likely to: - CORRECT
ANSWER - Both A + B (Have 6 or more chronic conditions and Have behavioral health or
substance abuse challenges)
Individuals over 75 are more likely to have cardiac conditions than individuals under 75? -
CORRECT ANSWER - TRUE
African Americans, Hispanics, and American Indians have lower rates of diabetes than the
general population? - CORRECT ANSWER - FALSE
Which age group of Medicare members has the highest rates of diabetes related hospital events?
- CORRECT ANSWER - Those under 65
What are some of the ways Devoted tries to do a Health Risk Assessment (HRA) with SNP
members? - CORRECT ANSWER - - Sales agents and brokers after a prospect completes
an application
- Service guides during a welcome call
- A mailed HRA