VANREIN COMPLIANCE - DEVOTED MODEL OF
CARE TEST QUESTIONS AND ANSWERS
For which Medicare Advantage plan types is a Model of Care required? Special
Need Plans (SNPs) are the only answer.
Who develops a Model of Care's requirements? CMS (the federal government)
is the answer.
Dual eligibles are more likely to ANSWER A + B (Be younger than 65 and
older than 85) than those who are only on Medicare.
Dual eligibles are more likely to: ANSWER Both A + B (Have six or more
chronic diseases and Have mental health or drug misuse difficulties) than
people who are only on Medicare.
Are cardiac issues more common in those over 75 than in people under 75?
ANSWER TRUE
Compared to the general population, do American Indians, African Americans,
and Hispanics have lower incidence of diabetes? - FALSE ANSWER
Which Medicare member age group has the highest rates of hospital incidents
connected to diabetes? ANSWER Individuals under 65
How does Devoted attempt to do a Health Risk Assessment (HRA) with
members of SNPs? Sales representatives and brokers upon a prospect's
application completion; service manuals during a welcome call
An HRA that was mailed
How frequently must Devoted do HRAs with SNP members? ANSWER: Every
365 days following the last HRA; within 90 days of the member's enrollment
CARE TEST QUESTIONS AND ANSWERS
For which Medicare Advantage plan types is a Model of Care required? Special
Need Plans (SNPs) are the only answer.
Who develops a Model of Care's requirements? CMS (the federal government)
is the answer.
Dual eligibles are more likely to ANSWER A + B (Be younger than 65 and
older than 85) than those who are only on Medicare.
Dual eligibles are more likely to: ANSWER Both A + B (Have six or more
chronic diseases and Have mental health or drug misuse difficulties) than
people who are only on Medicare.
Are cardiac issues more common in those over 75 than in people under 75?
ANSWER TRUE
Compared to the general population, do American Indians, African Americans,
and Hispanics have lower incidence of diabetes? - FALSE ANSWER
Which Medicare member age group has the highest rates of hospital incidents
connected to diabetes? ANSWER Individuals under 65
How does Devoted attempt to do a Health Risk Assessment (HRA) with
members of SNPs? Sales representatives and brokers upon a prospect's
application completion; service manuals during a welcome call
An HRA that was mailed
How frequently must Devoted do HRAs with SNP members? ANSWER: Every
365 days following the last HRA; within 90 days of the member's enrollment
