Exam (elaborations)
WELLCARE MASTERY EXAM QUESTIONS AND ANSWERS 2024
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WELLCARE MASTERY EXAM QUESTIONS AND ANSWERS 2024
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WELLCARE MASTERY EXAMBrokers/Agents may be investigated after being suspected of noncompliant
activity reported through a: (Select all that apply.) - ANSWERS-Complaint Tracking
Module (CTM)
Grievance
Secret Shop Finding
Which elements are available as part of Wellcare's sales support model? -
ANSWERS-All of These
Online Self-Service
Local Field Sales
Corporate Office
CustomPoint® sales material order dates will be posted on Wellcare.com. -
ANSWERS-False
. Wellcare does not need to be informed of informal marketing/sales events at
which plans or materials will be presented or distributed. - ANSWERS-False
Materials that include plan comparisons or cost sharing do not require Centers for
Medicare & Medicaid Services (CMS) submission. - ANSWERS-False
, Beneficiary-facing marketing materials developed by a Third-Party Marketing
Organization (TPMO) for multiple Medicare Advantage (MA) organizations or
plans can be reviewed by just one MA organization, submitted to the Centers for
Medicare & Medicaid Services (CMS) in the Health Plan Management System
(HPMS), and opted in by the health plan after distribution. - ANSWERS-True
Failure to inform a beneficiary that a trusted provider is out-of-network or is not
available in the newly selected plan can cause a sales allegation. - ANSWERS-True
Which option is the preferred method to submit enrollment? - ANSWERS-Ascend
Application
Best practices to keep in mind for Dual Eligible Special Needs Plan (D-SNP) and
Chronic Condition Special Needs Plan (C-SNP) enrollments include the following:
(Select all that apply.) - ANSWERS-If a member is not connected to a primary care
provider (PCP), always encourage and assist with connecting them to an in-
network doctor.
Avoid submitting applications with no PCP to assist these higher-risk members.
When completing an enrollment, be sure to use the correct enrollment
application for the desired plan year. - ANSWERS-True
A grievance request, or any evidence concerning a grievance, must be filed orally
or in writing no later than _____ calendar days from the date of the event or the
date the member is made aware of the issue.
30 - ANSWERS-60
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