WELLCARE ACT 2025 (CENTENE) QUESTIONS WITH CORRECT ANSWERS

WELLCARE ACT 2026 (CENTENE)
QUESTIONS WITH CORRECT ANSWERS

AYgrievance rrequest, ror rany revidence rconcerning ra rgrievance, rmust rbe rfiled rorally ror rin rwriting rno
rlater rth ran r r r calendar rdays rfrom rthe rdate rof rthe revent ror rthe rdate rthe rmember ris rmade
raware rof rthe rissue. r- rCORRECT rANSWER r-60




When rcompleting ran rapplication, ryou rshould rensure rthat ryou renter rthe rprovider rID rof ra rspecialist
rand rnot ra rPrimary rCare rPhysician r(PCP). r- rCORRECT rANSWER r-False




Which rof rthe rfollowing rstatements rabout rcompleting rtelephonic renrollments ris rFALSE? r-

CORRECT rANSWER r-Must rinclude rmost rof rthe rrequired relements rnecessary rto rcomplete rthe
renrollment




AYpassing rscore rof r or rhigher rmust rbe rachieved rto rsuccessfully rcomplete rthis
rcourse r- rCORRECT rANSWER r-85%




To rensure raccurate rdata rentry, ryou rshould rrepeat rthe rMedicare rID rback rto rthe rbeneficiary.
r- rCORRECT rANSWER r-True




Steps rto rtake rwhen rsafeguarding rand rsecuringYPHI rand rPII rinclude r- rCORRECT rANSWER r-All rof rthe
rAbove

, An ragent rmay rbe rterminated rfor rcause rif rthey rfail rto rcomply rwith ra rcompliance rinvestigation,
rencourage ro rthers rto ravoid rthe rcompliance rinterview rprocess, ror rfail rto rprovide rtruthful ror
rcomplete rinformation r- rCORRECT rANSWER r-True




For r2022, r will rno rlonger rbe ra rpreferred rpharmacy r- rCORRECT rANSWER r-Walmart




The rPartYD rSenior rSavings rModel r(SSM), rwhich rreduces rmember rspending ron rinsulin, rwill rbe
roffered ron rth re rValue rScript rand rValue rPlus rproducts r- rCORRECT rANSWER r-True




Communication rof rPHI rcan rbe: r- rCORRECT rANSWER r-Written, rElectronic, rVerbal