2023 WELLCARE MASTERY TEST ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |AGRADE

2023 WELLCARE MASTERY TEST ACTUAL

EXAM 100 QUESTIONS AND CORRECT

DETAILED ANSWERS WITH RATIONALES

(VERIFIED ANSWERS) |AGRADE

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.

a. 30

b. 45

c. 60

d. 90 - ANSWER- C. 60

Any request or distribution of PHI should contain only the minimum

amount of PHI required to complete the intended task.

Select one:

True

False - ANSWER- True

Beneficiary-facing content that includes generic or plan-specific product

or benefit information must be submitted for review and CMS

submission, as well as acceptance or approval, prior to distribution.

Select one:

True

False - ANSWER- True

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.

Select one:

True

False - 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.

Select one:

True

False - ANSWER- True

A Health Risk Assessment (HRA) can be completed for C-SNP and DSNP plans only, before the enrollment application process in Ascend

through the Value Based Enrollment (VBE) portal.

Select one:

True

False - ANSWER- False

What are some examples of what can trigger a beneficiary complaint?

(Select all that apply.)

a. Did not consent to enroll in the plan.

b. Received incorrect plan benefit information or were dissatisfied with

plan benefits.

c. Had enrollment/disenrollment issues (e.g., disenrollment/cancellation

requests, late enrollment penalty, loss of entitlement).

d. Were misled about which providers were in-network. - ANSWERAll (A,B,C,D)

A broker/agent who has never had any verbal warnings cannot be issued

a Corrective Action Plan.

Select one:

True

False - ANSWER- False