2023 Wellcare ACT Mastery Exam BEST
STUDYING MATERIAL WITH VERIFIED
ANSWERS LATEST VERSION UPDATE 2025-2026
1. When verifying a D-SNP beneficiary's Medicaid eligibility through the Ascend Medicaid
search tool, you should confirm their current Medicaid status qualifies for the selected D-SNP
being enrolled in and explain that changes in Medicaid eligibility may affect enrollment and/or
cost sharing.
A) True
B) False
Correct Answer: A) True
Rationale: It is crucial to verify that the beneficiary’s Medicaid status qualifies for the selected
D-SNP. Changes in Medicaid eligibility may affect enrollment or cost-sharing details, so brokers
should explain this to the beneficiary.
2. Which of the following statements about Scope of Appointment (SOA) is FALSE?
A) A signed and completed Scope of Appointment (SOA) is required to be submitted for all
agent-assisted enrollments.
B) You may not discuss any products not agreed to in advance by the beneficiary.
C) An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the
appointment.
D) SOAs are required for all personal and individual sales appointments, regardless of the venue
or client relationship (e.g., in-home, conference call, library, walk-in to a broker/agent office).
Correct Answer: C) An electronic SOA submitted in Ascend must be in a Pending status prior to
beginning the appointment.
Rationale: The SOA must be in "Completed" status, not "Pending," prior to the appointment
starting. This ensures compliance with Medicare regulations.
3. Once the enrollment is completed, you can save a copy of the application for your
reference.
A) True
B) False
,Correct Answer: B) False
Rationale: Brokers/agents are not permitted to retain copies of completed enrollments due to
privacy concerns and the protection of the beneficiary’s personal health information (PHI).
4. Which of the following is NOT an acceptable method for submitting a Scope of Appointment
(SOA) form?
A) Ascend
B) Telephonic
C) Paper
D) Fax
Correct Answer: D) Fax
Rationale: Wellcare accepts the SOA in Ascend, telephonic, and paper formats, but fax
submissions are not an accepted method for submitting the SOA.
5. Wellcare does not need to be informed of all marketing/sales events at which plans or
materials will be presented or distributed (Formal & Informal).
A) True
B) False
Correct Answer: B) False
Rationale: Wellcare must be informed of all marketing and sales events, formal or informal,
where plans or materials will be presented or distributed, to ensure compliance with marketing
regulations.
6. Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted
electronic enrollments.
A) True
B) False
Correct Answer: A) True
Rationale: Ascend is designed to make the process of submitting agent-assisted enrollments
faster, easier, and compliant with Medicare regulations.
7. Enrollment applications must be received by Wellcare no later than ___ calendar day(s)
following receipt from the beneficiary.
,A) 1
B) 3
C) 5
D) 7
Correct Answer: A) 1
Rationale: Enrollment applications must be submitted to Wellcare no later than 1 calendar day
after receiving them from the beneficiary to ensure timely processing 1. Centene requires all
contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and
Code of Conduct Policy.
A) True
B) False
Correct Answer: A) True
Rationale: All brokers/agents are required to read, understand, and agree to Centene's Business
Ethics and Code of Conduct Policy to ensure compliance with ethical standards and regulatory
requirements.
8. Which of the following actions are you required to do when contacted regarding an
allegation of noncompliant activity?
A) Speak with the investigator as quickly as possible.
B) Answer all questions honestly and completely.
C) Offer information and documents important to the investigation.
D) All of the above
Correct Answer: D) All of the above
Rationale: It is important to respond promptly, truthfully, and provide any relevant information
or documents to help with the investigation of noncompliant activity.
9. Communication of PHI can be:
(Select all that apply.)
A) Written
B) Electronic
C) Verbal
Correct Answer: A) Written
B) Electronic
C) Verbal
, Rationale: Protected Health Information (PHI) can be communicated in various ways, including
written, electronic, or verbal forms. It is essential to follow HIPAA guidelines when
communicating PHI.
10. Wellcare does not need to be informed of all marketing/sales events at which plans or
materials will be presented or distributed (Formal & Informal).
A) True
B) False
Correct Answer: B) False
Rationale: Wellcare must be informed of all marketing and sales events, whether formal or
informal, where plans or materials will be presented or distributed, to ensure compliance with
regulations.
11. Enrollment applications must be received by Wellcare no later than ___ calendar day(s)
following receipt from the beneficiary.
A) 1
B) 3
C) 5
D) 7
Correct Answer: A) 1
Rationale: Enrollment applications must be received within 1 calendar day following receipt
from the beneficiary to ensure timely processing.
12. Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted
electronic enrollments.
A) True
B) False
Correct Answer: A) True
Rationale: Ascend is a compliant platform designed to streamline the submission of
agentassisted electronic enrollments, making the process more efficient for brokers/agents.
13. During an appointment, you may not discuss any products not agreed to in advance by the
beneficiary.
STUDYING MATERIAL WITH VERIFIED
ANSWERS LATEST VERSION UPDATE 2025-2026
1. When verifying a D-SNP beneficiary's Medicaid eligibility through the Ascend Medicaid
search tool, you should confirm their current Medicaid status qualifies for the selected D-SNP
being enrolled in and explain that changes in Medicaid eligibility may affect enrollment and/or
cost sharing.
A) True
B) False
Correct Answer: A) True
Rationale: It is crucial to verify that the beneficiary’s Medicaid status qualifies for the selected
D-SNP. Changes in Medicaid eligibility may affect enrollment or cost-sharing details, so brokers
should explain this to the beneficiary.
2. Which of the following statements about Scope of Appointment (SOA) is FALSE?
A) A signed and completed Scope of Appointment (SOA) is required to be submitted for all
agent-assisted enrollments.
B) You may not discuss any products not agreed to in advance by the beneficiary.
C) An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the
appointment.
D) SOAs are required for all personal and individual sales appointments, regardless of the venue
or client relationship (e.g., in-home, conference call, library, walk-in to a broker/agent office).
Correct Answer: C) An electronic SOA submitted in Ascend must be in a Pending status prior to
beginning the appointment.
Rationale: The SOA must be in "Completed" status, not "Pending," prior to the appointment
starting. This ensures compliance with Medicare regulations.
3. Once the enrollment is completed, you can save a copy of the application for your
reference.
A) True
B) False
,Correct Answer: B) False
Rationale: Brokers/agents are not permitted to retain copies of completed enrollments due to
privacy concerns and the protection of the beneficiary’s personal health information (PHI).
4. Which of the following is NOT an acceptable method for submitting a Scope of Appointment
(SOA) form?
A) Ascend
B) Telephonic
C) Paper
D) Fax
Correct Answer: D) Fax
Rationale: Wellcare accepts the SOA in Ascend, telephonic, and paper formats, but fax
submissions are not an accepted method for submitting the SOA.
5. Wellcare does not need to be informed of all marketing/sales events at which plans or
materials will be presented or distributed (Formal & Informal).
A) True
B) False
Correct Answer: B) False
Rationale: Wellcare must be informed of all marketing and sales events, formal or informal,
where plans or materials will be presented or distributed, to ensure compliance with marketing
regulations.
6. Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted
electronic enrollments.
A) True
B) False
Correct Answer: A) True
Rationale: Ascend is designed to make the process of submitting agent-assisted enrollments
faster, easier, and compliant with Medicare regulations.
7. Enrollment applications must be received by Wellcare no later than ___ calendar day(s)
following receipt from the beneficiary.
,A) 1
B) 3
C) 5
D) 7
Correct Answer: A) 1
Rationale: Enrollment applications must be submitted to Wellcare no later than 1 calendar day
after receiving them from the beneficiary to ensure timely processing 1. Centene requires all
contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and
Code of Conduct Policy.
A) True
B) False
Correct Answer: A) True
Rationale: All brokers/agents are required to read, understand, and agree to Centene's Business
Ethics and Code of Conduct Policy to ensure compliance with ethical standards and regulatory
requirements.
8. Which of the following actions are you required to do when contacted regarding an
allegation of noncompliant activity?
A) Speak with the investigator as quickly as possible.
B) Answer all questions honestly and completely.
C) Offer information and documents important to the investigation.
D) All of the above
Correct Answer: D) All of the above
Rationale: It is important to respond promptly, truthfully, and provide any relevant information
or documents to help with the investigation of noncompliant activity.
9. Communication of PHI can be:
(Select all that apply.)
A) Written
B) Electronic
C) Verbal
Correct Answer: A) Written
B) Electronic
C) Verbal
, Rationale: Protected Health Information (PHI) can be communicated in various ways, including
written, electronic, or verbal forms. It is essential to follow HIPAA guidelines when
communicating PHI.
10. Wellcare does not need to be informed of all marketing/sales events at which plans or
materials will be presented or distributed (Formal & Informal).
A) True
B) False
Correct Answer: B) False
Rationale: Wellcare must be informed of all marketing and sales events, whether formal or
informal, where plans or materials will be presented or distributed, to ensure compliance with
regulations.
11. Enrollment applications must be received by Wellcare no later than ___ calendar day(s)
following receipt from the beneficiary.
A) 1
B) 3
C) 5
D) 7
Correct Answer: A) 1
Rationale: Enrollment applications must be received within 1 calendar day following receipt
from the beneficiary to ensure timely processing.
12. Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted
electronic enrollments.
A) True
B) False
Correct Answer: A) True
Rationale: Ascend is a compliant platform designed to streamline the submission of
agentassisted electronic enrollments, making the process more efficient for brokers/agents.
13. During an appointment, you may not discuss any products not agreed to in advance by the
beneficiary.
