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Exam (elaborations)

2024 WELLCARE CERTIFIFICATION. QUESTIONS AND ANSWERS

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2024 WELLCARE CERTIFIFICATION. QUESTIONS AND ANSWERS

Institution
2024 Wellcare ACT Mastery
Course
2024 Wellcare ACT Mastery









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Institution
2024 Wellcare ACT Mastery
Course
2024 Wellcare ACT Mastery

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Uploaded on
January 19, 2025
Number of pages
7
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

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2024 fgWellcare fgCertification
Study fgonline fgat
fghttps://quizlet.com/_einz21
1. With fgwhich fgtypes fgof fginquiries fgcan fgWellcare's fgCorporate fgSales fgSupport
fgteam fgassist?: fgAll fgof fgthese

2. Member fgPHI fgcan fgbe fgstored fgon fgan fgexternal fghard fgdrive fgor fga fgcloud
fgstorage fgservice fglike fgGoogle fgDrive fgor fg Apple fgCloud.: fgFalse

3. A fgrequest fgto fgthe fgplan fgfrom fga fgmember fgor fgprovider fgfor fga fgformal
fgreview fgof fgan fgAction fg(Denial) fgor fg Adverse fgPlan fgDetermination

fg(Medicare) fgis fga/an:: fgAppeal

4. The fgSingle fgSign-On fgPortal fgprovides fgaccess fgto fgseveral fgapplications,
fginclud- fging fgCustomPoint.: fgTrue

5. From fgOctober fg1 fgto fgOctober fg14, fgcertain fgactivities fgare fgNon-Permissible
fgActiv- fgities. fgThese fginclude:: fgAll fgof fgthese

6. Once fgthe fgenrollment fgis fgcompleted, fgyou fgcan fgsave fga fgcopy fgof fgthe
fgapplication fgfor fgyour fgreference.: fgFalse

7. Key fgareas fgyou fgas fga fgbroker/agent fghave fgcontrol fgover fgand fgimpact fgupon
fgregard- fging fgStar fgRatings fgfor fgquality fgare:: fgAll fgof fgthese

8. Ascend fgis fga fgfast, fgeasy, fgand fgcompliant fgway fgfor fgbrokers/agents fgto
fgsubmit fgagent-assisted fgelectronic fgenrollments.: fgTrue

9. An fgSEP fgis fga fgperiod fgoutside fgof fgthe fgICEP, fgAEP, fgor fgMA fgOEP fgwhen
fgbeneficiaries fgcan fgenroll fgbased fgsolely fgon fglife fgevents fgthat fgqualify fgfor

fgan fgSEP fgperiod.: fgTrue

10. Enrollment fgapplications fgmust fgbe fgreceived fgby fgWellcare fgno fglater
fgthan_ fg_ fgcalendar fgdays) fgfollowing fgreceipt fgfrom fgthe fgbeneficiary.: fg1

11. which fgof fgthe fgfollowing fgactions fgare fgyou fgrequired fgto fgdo fgwhen
fgcontacted fgregarding fgan fgallegation fgof fgnoncompliant fgactivity?: fgAll fgof

fgthese

12. When fgverifving fga fgD-SNP fgbeneficiary's fgMedicaid fgeligibility fgthrough
fgthe fg As- fgcend fgMedicaid fgsearch fgtool, fgyou fgshould fgconfirm fgtheir fgcurrent

fgMedicaid fgstatus fgqualifies fgfor fgthe fgselected fgD-SNP fgbeing fgenrolled fgin fgand

fgexplain fgthat fgchanges fgin fgMedicaid fgeligiblity fgmay fgaffect fgenrollment

fgand/or fgcost fgsharing.: fgTrue

13. The fgonline fgCentene fgWorkbench fgself-service fgportal fgenables fgyou fgto::
fgAll fgof fgthese

14. Medicare fgStar fgRatings fgand fgperformance fgare fgat fgthe fgforefront fgof
fgWellcare's fgquality fgstrategy. fgWellcare's fgquality fgfocus fgconsists fgof fgsix

fgdrivers. fgWhich fgof fgthe fgfollowing fgis fgnot fga fgWellcare fgquality fgdriver?:

fgMember fgPayments

15. Brokers/Agents fgcan fgsubmit fga fgsupport fgticket fgonline fgthrough fgtheir
fgCentene fgWorkbench fgportal.: fgTrue

16. If fga fgrequested fgeffective fgdate fgis fgavailable fgfor fgthe fgspecial fgelection
1 fg/
fg7

, 2024 fgWellcare fgCertification
Study fgonline fgat
fghttps://quizlet.com/_einz21
fgperiod fgbeing fgselected, fgensure fgyou fgare fgrequesting fga fgdate fgwithin fgthe

fgcorrect fgtimeframe fgfor fgthe fgmember fgbased fgon fgtheir fgeligibility fgdate fgor
fgchange fgdate fgneeded.: fgTrue

17. A fgbroker/agent fgmay fgbe fgterminated fgfor fgcause fgif fgthey fgfail fgto fgcomply
fgwith fga fgcompliance fginvestigation, fgencourage fgothers fgto fgavoid fgthe

fgcompliance fginterview fgprocess, fgor fgfail fgto fgprovide fgtruthful fgor fgcomplete

fginformation.: fgTrue




2 fg/
fg7

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