2023/24 Wellcare ACT Mastery Exam Latest Updated

When a paper SOA form is used, it must be completed __________ hosting the sales presentation. - ANSWER-Prior to A broker/agent who has never had any verbal warnings cannot be issued a Corrective Action Plan. - ANSWER-False A Health Risk Assessment (HRA) can be completed for C-SNP and D-SNP plans only, before the enrollment application process in Ascend through the Value Based Enrollment (VBE) portal. - ANSWER-False Health risk assessment (HRA) - ANSWER-All of the above Although options for capturing and submitting SOAs vary by health plan, Wellcare accepts SOAs in which of the following methods? - ANSWER-All of the above Low-Income Subsidy (LIS)/Medicaid Lookup status verification in Ascend is: (Select all that apply.) - ANSWER--Available for LIS level searches in all states -Available for Medicaid status searches in select states. -A way to assist brokers/agents with enrolling beneficiaries into the right plan based on their extra help status. When discussing prescription drug coverage, you should: (Select all that apply.) - ANSWER--Explain how to use the formulary to look up limitations and exclusions (e.g., step therapy, quantity limits). -Confirm coverage of the beneficiary's current and/or anticipated prescriptions. -Explain formulary tiers as well as drug copayment amounts. -For drugs that are not covered by the new plan, explain the Transition Fill program and how to request a coverage exception Communication of PHI can be: (Select all that apply.) - ANSWER-Written Electronic Verbal Wellcare must receive notice of an event change or cancellation as soon as possible, but no later than 30 minutes after the event start time. - ANSWER-False Which elements are available as part of Wellcare's sales support model? - ANSWER-All of the above