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Wellcare Exam 2024 EXAM WITH VERIFIED ANSWERS.
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Wellcare Exam 2024 EXAM WITH VERIFIED ANSWERS.Wellcare Exam 2024 EXAM WITH VERIFIED ANSWERS.Wellcare Exam 2024 EXAM WITH VERIFIED ANSWERS.Wellcare Exam 2024 EXAM WITH VERIFIED ANSWERS.Wellcare Exam 2024 EXAM WITH VERIFIED ANSWERS.Wellcare Exam 2024 EXAM WITH VERIFIED ANSWERS.Wellcare Exam 2024 EXAM...

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  • September 6, 2024
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  • 2024/2025
  • Exam (elaborations)
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  • wellcare exam 2024 exam with verified answers

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Wellcare Exam 2024 EXAM WITH
VERIFIED ANSWERS



A irequest ito ithe iplan ito ithe iplan ifrom ia imember ior iprovider ifor ia iformal ireview iof ian iAction
i(Denial) ior i


Adverse iPlan iDetermination i(medicare) iis ia/an: i- icorrect iAnswers i✔✔ i-a.APPEAL

A igrievance irequest, ior iany ievidence iconcerning ia igrievance, imust ibe ifiled iorally ior iin iwriting ino
ilater ithan i__ icalendar idays ifrom ithe idate iof ithe ievent ior ithe idate ithe imember iis imade iaware iof
ithe iissue. i- icorrect iAnswers i✔✔ i-60


An iLEP iis iassessed iby iCMS iwhen ia imember igoes___days ior ilonger iwithout icreditable iprescription
idrug i


coverage iafter ithey ibecome iMedicare-eligible. i- icorrect iAnswers i✔✔ i-B. i63 iDAYS

Ascend iis ia ifast, ieasy, iand icompliant iway ifor ibrokers/agents ito isubmit iagent-assisted ielectronic i

enrollments. i- icorrect iAnswers i✔✔ i-TRUE

A iHealth iRisk iAssessment i(HRA): i- icorrect iAnswers i✔✔ i-a. iProvides iphysiscians iwith ian ioverview iof
ia imember's ihealth istatus. i


B. ihelp ius iunderstand ithe i

unique ihealth isituation iog ieach iof iour imembers iand iallows ius ito imake isure ithey ireceive ithe i

services ithat imeet itheir ineeds.

c. iis ian iimportant ipart iof iour iquality iinitiative, idirectly i

impacting iour istar iratings. i

D. iALL iOF iTHESE i(CORRECT)

A ibroker/agent imay ibe iterminated ifor icause iif ithey ifail ito icomply iwith icompliance iinvestigation,
iencourage iothers ito iavoid ithe icompliance iinterview iprocess, ior ifail ito iprovide itruthful icomplete
iinformation. i- icorrect iAnswers i✔✔ i-TRUE

, A ibroker/ iagent iwho ihas inever ihad iany iverbal iwarnings icannot ibe iissued ia icorrective iaction iplan. i-
icorrect iAnswers i✔✔ i-FALSE


A iLow-income isubsidy i(LIS) imember iwill ibe iassigned iof ithe i__copay icategories idepending ion ithe
ilevel iof ineed. i- icorrect iAnswers i✔✔ i-C. iFOUR


All iprescription idrug iplans i(PDPs) iwill ifeature ia i$0 iTier i1 ibenefit iwhen ifilled iat ipreferred
ipharmacies. i- icorrect iAnswers i✔✔ i-TRUE


All iprescription idrug iplans i(PDPs) iwill icontinue ito ioffer i$0 iTier i1 ipreferred icost-sharing ithrough
iExpress iScripts ipharmacy i(mail iorder). i- icorrect iAnswers i✔✔ i-TRUE


All iPrescription iDrug iPlans i(PDPs) iwill ioffer ia i$__ icopay ifor imost iPart iD ipreventive iVaccines,
iregardless iof iwhich inetwork ipharmacy iis iused iby imembers. i- icorrect iAnswers i✔✔ i-ZERO


At ithe iend iof ithis icourse, ithere iwill ibe ia iMastery iExam. iAgents imust iachieve ia ipassing iscore iof i85%
ior ihigher ito isuccessfully icomplete ithis icourse. i- icorrect iAnswers i✔✔ i-TRUE


Although ioptions ifor icapturing iand isubmitting iSOAs ivary iby ihealth iplan, iwellcare iaccepts iSOAs iin
iwhich iof ithe ifollowing imethods? i- icorrect iAnswers i✔✔ i-ALL iOF iTHESE


Any irequest ior idistribution iof iPH ishould icontain ionly ithe iminimum iamount iof iPH irequired ito
icomplete ithe iintended itask i- icorrect iAnswers i✔✔ i-TRUE


An iSEP iis ia iperiod ioutside iof ithe iICEP, iAEP, ior iMA iOEP iwhen ibeneficiaries ican ienroll ibased isolely
ion ilife ievents ithat iqualify ifor ian iSEP iperiod. i- icorrect iAnswers i✔✔ i-TRUE


Beneficiary-facing imarketing imaterials ifor imultiple iMA iorganizations ior iplans imust ibe isubmitted ito
ithe iHPMS iMarketing iModule iby ithe ithird-party imarketing iorganization i(TPMO) ino ilater ithan i30
idays iof iuse. i- icorrect iAnswers i✔✔ i-FALSE


Broker/Agents ican isubmit ia isupport iticket ionline ithrough itheir iCentene iWorkbench iportal i- icorrect
iAnswers i✔✔ i-TRUE


Brokers/agents imay ibe iinvestigated iafter ibeing isuspected iof inoncompliant iactivity ireported ithrough
ia: i- icorrect iAnswers i✔✔ i-a. iCompliant itracking imodule i(CTM) i


b. iGrievance i

c. isecret ishop ifinding.

Broker/Agents ican iaccess ithe ifollowing iresources iunder ithe iShared iResources isection iin iCentene
iWorkbench i- icorrect iAnswers i✔✔ i-ALL iOF iTHESE


Broker/Agents ican iaccess iand idownload ienrollment imaterials ithrough iCustomPoint. i- icorrect
iAnswers i✔✔ i-TRUE

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