Wellcare ACT Mastery Exam Questions and Answers (Latest 2023 – 2024) Verified Solutions

Once the enrollment is completed, you can save a copy of the application for your reference. - False Which elements are available as part of Wellcare's sales support model? - All of the above. Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. - True Communication of PHI can be: (Select all that apply.) - -Written -Electronic -Verbal Prior to completing the enrollment form, you should always confirm the beneficiary's primary care physician (PCP) and/or specialists. - True Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. Select one: - True A Health Risk Assessment (HRA) can be completed for C-SNP and D-SNP plans only, before the enrollment application process in Ascend through the Value Based Enrollment (VBE) portal. - False Beneficiary-facing content that includes generic or plan-specific product or benefit information must be submitted for review and CMS submission, as well as acceptance or approval, prior to distribution. - True A broker/agent who has never had any verbal warnings cannot be issued a Corrective Action Plan. - False The NEW online Centene Workbench self-service portal enables you to: - All of the above What are some examples of what can trigger a beneficiary complaint? - Select All! a.Did not consent to enroll in the plan. b.Received incorrect plan benefit information or were dissatisfied with plan benefits. c.Had enrollment/disenrollment issues (e.g., disenrollment/cancellation requests, late enrollment penalty, loss of entitlement). d.Were misled about which providers were in-network. Member PHI can be stored on an external hard drive or a cloud storage service like Google Drive or Apple Cloud. - False What type of inquiries can Wellcare's Corporate Sales Support team assist with? - All of the above Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? - All of the above Ascend is a fast, easy, and compliant w