2024 Wellcare ACT Mastery Exam
____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and Washington,
D.C. - ANS-Three
______ events are designed to inform the people who attend about Medicare Advantage,
Prescription Drug, or other Medicare programs without going into the specifics of a particular
carrier. - ANS-Educational
A broker/agent may be terminated for cause if they fail to comply with a compliance
investigation, encourage others to avoid the compliance interview process, or fail to provide
truthful or complete information. - ANS-True
A broker/agent who has never had any verbal warnings cannot be issued a Corrective Action
Plan. - ANS-False
A grievance request, or any evidence concerning a grievance, must be fi led 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. - ANS-60
A Health Risk Assessment (HRA) - ANS-All of these
A Low-Income Subsidy (LIS) member will be assigned one of ____ copay categories depending
on the level of need. - ANS-Four
A request to the plan from a member or provider for a formal review of an Action (Denial) or
Adverse Plan Determination (Medicare) is a/an:
a. - ANS-Appeal
All Prescription Drug Plans (PDPs) will continue to offer $0 Tier 1 preferred cost-sharing through
Express Scripts Pharmacy (Mail Order). - ANS-True
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred
pharmacies. - ANS-True
All Prescription Drug Plans (PDPs) will off er a $___ copay for most Part D preventive vaccines,
regardless of which network pharmacy is used by members. - ANS-Zero
Although options for capturing and submitting SOAs vary by health plan, Wellcare accepts
SOAs in which of the following methods? - ANS-All of these
, An LEP is assessed by CMS when a member goes ______ days or longer without creditable
prescription drug coverage after they become Medicare-eligible. - ANS-63 days
An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries can enroll based
solely on life events that qualify for an SEP period. - ANS-True
Any request or distribution of PHI should contain only the minimum amount of PHI required to
complete the intended task - ANS-True
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted electronic
enrollments. - ANS-True
At the end of this course, there will be a Mastery Exam. Agents must achieve a passing score of
85% or higher to successfully complete this course - ANS-True
Beneficiary-facing marketing materials for multiple MA organizations or plans must be submitted
to the HPMS Marketing Module by the third-party marketing organization (TPMO) no later than
30 days of use. - ANS-False
Brokers/Agents can access and download enrollment materials through CustomPoint. -
ANS-True
Brokers/Agents can access the following resources under the Shared Resources section in
Centene Workbench. - ANS-All of these
Brokers/Agents can submit a support ticket online through their Centene Workbench portal. -
ANS-True
Brokers/Agents may be investigated after being suspected of noncompliant activity reported
through a - ANS-Complaint Tracking Module (CTM)
Grievance
Secret Shop Finding
Brokers/Agents MUST complete a Wellcare Contract Recertifi cation case in Centene
Workbench (CWB) every two years. - ANS-False
Centene requires all contracted brokers/agents to read, understand, and agree to Centene's
Business Ethics and Code of Conduct Policy. - ANS-True
Communication of PHI can be: - ANS-Written, Electronic, Verbal
CustomPoint sales material order dates will be posted on Wellcare.com - ANS-False
CVS Caremark Mail Order will be in-network for 2024. - ANS-False
____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and Washington,
D.C. - ANS-Three
______ events are designed to inform the people who attend about Medicare Advantage,
Prescription Drug, or other Medicare programs without going into the specifics of a particular
carrier. - ANS-Educational
A broker/agent may be terminated for cause if they fail to comply with a compliance
investigation, encourage others to avoid the compliance interview process, or fail to provide
truthful or complete information. - ANS-True
A broker/agent who has never had any verbal warnings cannot be issued a Corrective Action
Plan. - ANS-False
A grievance request, or any evidence concerning a grievance, must be fi led 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. - ANS-60
A Health Risk Assessment (HRA) - ANS-All of these
A Low-Income Subsidy (LIS) member will be assigned one of ____ copay categories depending
on the level of need. - ANS-Four
A request to the plan from a member or provider for a formal review of an Action (Denial) or
Adverse Plan Determination (Medicare) is a/an:
a. - ANS-Appeal
All Prescription Drug Plans (PDPs) will continue to offer $0 Tier 1 preferred cost-sharing through
Express Scripts Pharmacy (Mail Order). - ANS-True
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred
pharmacies. - ANS-True
All Prescription Drug Plans (PDPs) will off er a $___ copay for most Part D preventive vaccines,
regardless of which network pharmacy is used by members. - ANS-Zero
Although options for capturing and submitting SOAs vary by health plan, Wellcare accepts
SOAs in which of the following methods? - ANS-All of these
, An LEP is assessed by CMS when a member goes ______ days or longer without creditable
prescription drug coverage after they become Medicare-eligible. - ANS-63 days
An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries can enroll based
solely on life events that qualify for an SEP period. - ANS-True
Any request or distribution of PHI should contain only the minimum amount of PHI required to
complete the intended task - ANS-True
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted electronic
enrollments. - ANS-True
At the end of this course, there will be a Mastery Exam. Agents must achieve a passing score of
85% or higher to successfully complete this course - ANS-True
Beneficiary-facing marketing materials for multiple MA organizations or plans must be submitted
to the HPMS Marketing Module by the third-party marketing organization (TPMO) no later than
30 days of use. - ANS-False
Brokers/Agents can access and download enrollment materials through CustomPoint. -
ANS-True
Brokers/Agents can access the following resources under the Shared Resources section in
Centene Workbench. - ANS-All of these
Brokers/Agents can submit a support ticket online through their Centene Workbench portal. -
ANS-True
Brokers/Agents may be investigated after being suspected of noncompliant activity reported
through a - ANS-Complaint Tracking Module (CTM)
Grievance
Secret Shop Finding
Brokers/Agents MUST complete a Wellcare Contract Recertifi cation case in Centene
Workbench (CWB) every two years. - ANS-False
Centene requires all contracted brokers/agents to read, understand, and agree to Centene's
Business Ethics and Code of Conduct Policy. - ANS-True
Communication of PHI can be: - ANS-Written, Electronic, Verbal
CustomPoint sales material order dates will be posted on Wellcare.com - ANS-False
CVS Caremark Mail Order will be in-network for 2024. - ANS-False
