Wellcare Certification UPDATED
ACTUAL Questions and CORRECT
Answers
With which types of inquiries can Wellcare's Corporate Sales Support team assist? -
CORRECT ANSWER✔✔- All of these
Member PHI can be stored on an external hard drive or a cloud storage service like Google
Drive or Apple Cloud. - CORRECT ANSWER✔✔- False
A request to the plan from a member or provider for a formal review of an Action (Denial) or
Adverse Plan Determination (Medicare) is a/an: - CORRECT ANSWER✔✔- Appeal
The Single Sign-On Portal provides access to several applications, including CustomPoint. -
CORRECT ANSWER✔✔- True
From October 1 to October 14, certain activities are Non-Permissible Activities. These
include: - CORRECT ANSWER✔✔- All of these
Once the enrollment is completed, you can save a copy of the application for your reference. -
CORRECT ANSWER✔✔- False
Key areas you as a broker/agent have control over and impact upon regarding Star Ratings
for quality are: - CORRECT ANSWER✔✔- All of these
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted
electronic enrollments. - CORRECT ANSWER✔✔- True
An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries can enroll based
solely on life events that qualify for an SEP period. - CORRECT ANSWER✔✔- True
Enrollment applications must be received by Wellcare no later than_ _ calendar days)
following receipt from the beneficiary. - CORRECT ANSWER✔✔- 1
, which of the following actions are you required to do when contacted regarding an allegation
of noncompliant activity? - CORRECT ANSWER✔✔- All of these
When verifving 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 eligiblity may affect enrollment
and/or cost sharing. - CORRECT ANSWER✔✔- True
The online Centene Workbench self-service portal enables you to: - CORRECT
ANSWER✔✔- All of these
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 ANSWER✔✔- Member Payments
Brokers/Agents can submit a support ticket online through their Centene Workbench portal. -
CORRECT ANSWER✔✔- True
If a requested effective date is available for the special election period being selected, ensure
you are requesting a date within the correct timeframe for the member based on their
eligibility date or change date needed. - CORRECT ANSWER✔✔- True
A broker/agent may be terminated for cause if they fail to comply with a compliance
investigation, encourage others to avoid the compliance interview process, or fail to provide
truthful or complete information. - CORRECT ANSWER✔✔- True
Wellcare added which state to its footprint for 2024? - CORRECT ANSWER✔✔- Delaware
CVS Caremark Mail Order will be in-network for 2024 - CORRECT ANSWER✔✔- False
All Prescription Drug Plans (PDPs) will continue to offer $0 Tier 1 preferred cost-sharing
through Express Scripts Pharmacy (Mail Order). - CORRECT ANSWER✔✔- True
ACTUAL Questions and CORRECT
Answers
With which types of inquiries can Wellcare's Corporate Sales Support team assist? -
CORRECT ANSWER✔✔- All of these
Member PHI can be stored on an external hard drive or a cloud storage service like Google
Drive or Apple Cloud. - CORRECT ANSWER✔✔- False
A request to the plan from a member or provider for a formal review of an Action (Denial) or
Adverse Plan Determination (Medicare) is a/an: - CORRECT ANSWER✔✔- Appeal
The Single Sign-On Portal provides access to several applications, including CustomPoint. -
CORRECT ANSWER✔✔- True
From October 1 to October 14, certain activities are Non-Permissible Activities. These
include: - CORRECT ANSWER✔✔- All of these
Once the enrollment is completed, you can save a copy of the application for your reference. -
CORRECT ANSWER✔✔- False
Key areas you as a broker/agent have control over and impact upon regarding Star Ratings
for quality are: - CORRECT ANSWER✔✔- All of these
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted
electronic enrollments. - CORRECT ANSWER✔✔- True
An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries can enroll based
solely on life events that qualify for an SEP period. - CORRECT ANSWER✔✔- True
Enrollment applications must be received by Wellcare no later than_ _ calendar days)
following receipt from the beneficiary. - CORRECT ANSWER✔✔- 1
, which of the following actions are you required to do when contacted regarding an allegation
of noncompliant activity? - CORRECT ANSWER✔✔- All of these
When verifving 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 eligiblity may affect enrollment
and/or cost sharing. - CORRECT ANSWER✔✔- True
The online Centene Workbench self-service portal enables you to: - CORRECT
ANSWER✔✔- All of these
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 ANSWER✔✔- Member Payments
Brokers/Agents can submit a support ticket online through their Centene Workbench portal. -
CORRECT ANSWER✔✔- True
If a requested effective date is available for the special election period being selected, ensure
you are requesting a date within the correct timeframe for the member based on their
eligibility date or change date needed. - CORRECT ANSWER✔✔- True
A broker/agent may be terminated for cause if they fail to comply with a compliance
investigation, encourage others to avoid the compliance interview process, or fail to provide
truthful or complete information. - CORRECT ANSWER✔✔- True
Wellcare added which state to its footprint for 2024? - CORRECT ANSWER✔✔- Delaware
CVS Caremark Mail Order will be in-network for 2024 - CORRECT ANSWER✔✔- False
All Prescription Drug Plans (PDPs) will continue to offer $0 Tier 1 preferred cost-sharing
through Express Scripts Pharmacy (Mail Order). - CORRECT ANSWER✔✔- True
