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Annually, brokers are required to complete a Wellcare
Contract Recertification case in:
A. Salesforce
B. Wellcare.com
C. Centene Workbench (CWB)
D. Sales Material Ordering Portal - ANSWER-C. Centene
Workbench (CWB)
,Brokers and agents may be investigated for non-compliant
behavior based on any of the following activities,
EXCLUDING:
A. Complaint Tracking Module (CTM)
B. Grievance
C. Secret shopping finding
D. Yelp review - ANSWER-D. Yelp review
Content and materials that include plan comparisons,
cost-sharing, or rewards and incentives do not require
Centers for Medicare & Medicaid Services (CMS)
submission.
TRUE
FALSE - ANSWER-FALSE
,Marketing benefits in a service area where those benefits
are not available is prohibited and considered misleading
unless that is unavoidable because of local or regional
media use.
TRUE
FALSE - ANSWER-TRUE
For telephonic enrollments, it is required that you obtain
consent to record the call with the beneficiary at the end of
the call.
TRUE
FALSE - ANSWER-FALSE
, Members have access to the online self-service member
portal___:
A: 24/7
B: 8am - 6pm MST only
C: 8am - 7pm CST only
D: 8am - 8pm MST only - ANSWER-A: 24/7
If a member starts using a formulary protected class drug
(PCD), the plan must cover it for only 30 days.
TRUE
FALSE - ANSWER-FALSE
Which is an example of a top beneficiary complaint that
affects Star Ratings?