Wellcare ACT Celene Mastery (100% Correct Answers)

You can help prevent grievances by: (Select all that apply.) correct answers a. Always confirming availability of the beneficiary's primary and specialist providers by using the provider search tool available on the plan's website. b. Always using plan materials to clearly explain plan benefits and cost (including medications) and check for understanding. c. Always confirming a beneficiary's intent to enroll before accepting their enrollment application. (All of the above) Which of the following is not an example of Protected Health Information (PHI)? correct answers Library card When enrolling a D-SNP beneficiary, be sure to verify plan enrollment eligibility and that the Medicare Savings Program (MSP) level is eligible for the requested plan. correct answers True Member PHI can be stored on an external hard drive or a cloud storage service like Google Drive or Apple Cloud. correct answers False 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? correct answers Member Payments - (The Six Drivers are Member Service, Serving Government Customers, Selection and Enrollment, Reputation, Requirement of Participation, Bonus Payment.) Agents must meet all required contracting, training, and certification requirements to be eligible to sell Wellcare's Medicare products. correct answers True The information contained within ACT will equip agents to certify, market, and sell which health plans? correct answers All of the above (Ascension Complete and Wellcare) Which of the following statements about completing telephonic enrollments is FALSE? correct answers Must include most of the required elements necessary to complete the enrollment. Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. correct answers True Which of the following is not considered a grievance? correct answers A dispute of the appeal of an organization determination, coverage determination or a Late Enrollment Penalty (LEP) determination. Centene requires all contracted agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. correct answers True