2023 Wellcare ACT Mastery Certification Answered

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By selecting the correct provider during the enrollment process, you can:- ANSWER All of the above A grievance request, or any evidence concerning a grievance, must be fi led orally or in writing n... o later than calendar days from the date of the event or the date the member is made aware of the issue. - ANSWER 60 The Single Sign-On Portal provides access to several applications, including Centene Workbench. ANSWER 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. - ANSWER True Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a ANSWER -Complaint Tracking Module (CTM) Grievance -Secret Shop Finding The NEW online Centene Workbench self-service portal enables you to: - ANSWER All of the above When discussing prescription drug coverage, you should: - 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. Once the enrollment is completed, you can save a copy of the application for your reference:- 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 Which resources are available for download from the Shared Resources section found within Centene Workbenchi? ANSWER All of the above During an appointment, you may not discuss any products not agreed to in advance by the beneficiary. a. True b. False - Answer True When a paper SOA form is used, it must be completed __________ hosting the sales presentation. a. Prior to b. During c. After - Answer A. Prior to Brokers/Agents can submit a support ticket online through their Centene Workbench portal. Select one: True False - Answer True Wellcare does not need to be informed of all marketing/sales events at which plans or materials will be presented or distributed (Formal & Informal). Select one: True False - Answer False Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? [Show More]

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