VanRein Compliance - Devoted Model of Care
Questions with 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
How often does Devoted have to do a HRA with SNP members? Correct
Answer-- Within 90 days of when the member enrolls
- Every 365 days since the last HRA
Health Risk Assessment results are used to build the care plan for SNP
members? Correct Answer-TRUE
Every SNP member has an individualized care plan for them? Correct
Answer-TRUE
Which of the following is almost always part of the SNP member's care
team? Correct Answer-The member's PCP
If you're not on the member's care team, can you work with or help out
that SNP member? Correct Answer-Yes
Providers seeing SNP members also have to do Model of Care training?
Correct Answer-TRUE
Questions with 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
How often does Devoted have to do a HRA with SNP members? Correct
Answer-- Within 90 days of when the member enrolls
- Every 365 days since the last HRA
Health Risk Assessment results are used to build the care plan for SNP
members? Correct Answer-TRUE
Every SNP member has an individualized care plan for them? Correct
Answer-TRUE
Which of the following is almost always part of the SNP member's care
team? Correct Answer-The member's PCP
If you're not on the member's care team, can you work with or help out
that SNP member? Correct Answer-Yes
Providers seeing SNP members also have to do Model of Care training?
Correct Answer-TRUE
