2022 Wellcare Act Mastery Exam Answers

Question: 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.

Answer: 60

Question: When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP).

Answer: False

Question: Which of the following statements about completing telephonic enrollments is FALSE?

Answer: Must include most of the required elements necessary to complete the enrollment

Question: A passing score of __ or higher must be achieved to successfully complete this course

Answer: 85%

Question: To ensure accurate data entry, you should repeat the Medicare ID back to the beneficiary.

Answer: True

Question: Steps to take when safeguarding and securing PHI and PII include

Answer: All of the Above

Question: An 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

Answer: True

Question: For 2022, ______ will no longer be a preferred pharmacy

Answer: Walmart

Question: The Part D Senior Savings Model (SSM), which reduces member spending on insulin, will be offered on the Value Script and Value Plus products

Answer: True

Question: Communication of PHI can be:

Answer: Written, Electronic, Verbal