UHC Senior Care Options Test Latest 2022

UHC Senior Care Options Test Latest 2022 Select which group of individuals might qualify for Medicaid. certain families and individuals Which of the following is true about MassHealth? In a sense, it is a combination of Medicaid and SCHIP (the State Children Health Insurance Plan). Which of the following is a component of the UnitedHealthcare SCO Plan? A Care Management Team What is the purpose of UnitedHealthcare SCO plan's care management program? Care Management helps to proactively coordinate and integrate services into one seamless model of care. When will Mary's coverage begin if she completes her UnitedHealthcare SCO enrollment application on May 20? Note: Mary has Medicaid and Medicare and has not used her Dual/LIS Maintaining SEP for quarter 2. May 20 is incorrect Which of the following questions could you ask the consumer to help determine if they are enrolled in PACE or another SCO plan? Do you currently pay copayments for your prescription drugs? Which of these is a requirement for enrolling in the UnitedHealthcare SCO plan? Resident of the plan service area Which of the following applies to a consumer with End Stage Renal Disease (ESRD) and the UnitedHealthcare SCO plan? The consumer may not enroll in the plan unless already enrolled in a UnitedHealthcare plan or the MA plan in which they were enrolled has terminated.* Which of the following is a reason to avoid enrolling PACE members in UnitedHealthcare SCO? These members are very frail and moving to SCO would disenroll them from their PACE plan and change their providers and care approach. Which of the following statements best describes UnitedHealthcare SCO plan Primary Care Provider (PCP) requirements? The consumer's PCP must be in the plan's contracted network or the consumer must select a PCP who is. Next question What tool is used by the UnitedHealthcare SCO team to assess the level of each member's health care needs? Health Risk Assessment Tool When presenting a SCO plan and discussing providers with the consumer, what must an agent do? (Select 2) Explain that a provider's status can change and advise the consumer to call the plan or look online to see if the provider is still in network before obtaining services. Look up the providers in the online directory to confirm whether the consumer's providers are in the network for the specific plan. If coverage guidelines are met, which one of the following is not typically included in Community Services? Pet grooming Next question When can consumers eligible for the UnitedHealthcare SCO plan enroll if the consumer has both Medicaid and Medicare? Once per calendar quarter from January through September using the Dual/LIS Maintaining SEP or during the Annual Election Period (AEP) with a January 1 effective date While determining if Carl is eligible for the UnitedHealthcare SCO plan, Anne learns that Carl does not pay any copayments when he goes to the pharmacy. What might this indicate? Carl may be enrolled in a PACE program or another SCO. If that is confirmed, he should not be