Wellcare / Centene Annual Certification Training (ACT) Practice Test

These questions are part of the practice quiz. Start practicing

• Which of the following options is an example of Protected Health Information (PHI)?
• Can agents who have never had any verbal warnings still face a Corrective Action Plan?
• Which of the following is considered not to be Protected Health Information (PHI)?
• Which communication method is not acceptable for conveying Protected Health Information (PHI)?
• How can protected health information (PHI) be communicated?
• Noting the correct enrollment period on enrollment applications helps in preventing what?
• To ensure accurate data entry, what should you do with the Medicare ID provided by the beneficiary?
• What is one of the requirements for filing a grievance?
• Agents may be investigated after being suspected of noncompliant activity reported through which of the following?
• What new approach has Wellcare taken regarding its standalone PDP offerings?
• What kind of formulary structure do Value Script and Value Plus PDP products have for 2023?
• Can an agent who has never received verbal warnings be issued a Corrective Action Plan?
• What is a critical factor in the expansion strategy of Centene for 2023?
• How many calendar days are allowed to file a grievance request after an event?
• What action is associated with the granting of verbal permission regarding plan details?
• What should you do to ensure accurate data entry of the Medicare ID?
• What is the main purpose of the Wellcare MAPD plans?
• Which statement about telephonic enrollments is FALSE?
• Which of the following areas do Sales Agents/Brokers control regarding Star (Quality) Ratings?
• What qualifies an authorized representative to complete an application on behalf of a beneficiary?
• What must you provide the beneficiary after completing the enrollment application?
• Which Wellcare plan allows for cost savings on insulin for members?
• What is a significant area Wellcare expanded coverage to in 2022?
• Which of the following statements is true regarding telephonic enrollments?
• What is the proper approach regarding the amount of PHI shared during a request?
• What is the Tier 1 benefit for all Wellcare standalone PDP plans?
• What does the Part D Senior Savings Model aim to reduce for members?
• What is an example of an issue that can be disputed regarding an organization's determination?
• How many standalone PDP offerings does Wellcare have now across all regions after the recent streamlining?
• Which statement regarding telephonic enrollments is FALSE?
• How does Wellcare plan to improve member experience in new counties added?
• How many drivers are at the forefront of Wellcare's quality strategy?
• How many new Wellcare and Ascension Complete plans are going to market as part of Centene's product expansion?
• For what purpose is the grievance process important for members?
• When distributing PHI, what is a key guideline to follow?
• What key aspect does the SSM improve in terms of member offerings?
• What type of benefit do all Wellcare standalone PDP plans offer for Tier 1?
• What tier formulary structure will Value Script and Value Plus PDP products have in 2023?
• Is verbal permission granted for discussing plan details sufficient for an authorized representative to complete an application for a beneficiary?
• Which of the following is an acceptable method for tracking customer complaints?
• For 2022, which group will no longer be a preferred pharmacy?
• Which of the following is a key area impacting Star Ratings for quality?
• What health plans can agents certify, market, and sell after completing the ACT?
• Which federal regulation is crucial to understanding PHI security?
• What is the importance of filing a grievance request in a timely manner?
• What is a requirement for agents to be eligible to sell Wellcare's Medicare Products?
• What is important to note on enrollment applications to prevent delays?
• What did Wellcare’s 2022 product expansion signify?
• Which of the following is a key area a Sales Agent/Broker can impact regarding Star ratings?
• Which of the following is NOT a point of potential investigation for agents?
• What is a consequence of failing to inform a beneficiary about specific plan details?
• Which method is NOT a permissible form of communication of PHI?
• What is the passing score required to successfully complete this course?
• A grievance request or any evidence concerning a grievance must be filed no later than how many calendar days from the date of the event?
• What does LIS stand for in the context of copay categories?
• How many new counties did Ascension Complete add to their footprint for 2023?
• Does Wellcare offer a variety of Medicare products under a new brand?
• What stage of drug coverage is referred to as the "donut hole"?
• Which Wellcare PDP plan is notable for its choice in both formularies and cost structure?
• When enrolling a D-SNP beneficiary, what should be verified?
• What percentage increase did Wellcare's 2022 product expansion represent from 2021?
• What is a good method for securing emails that include PHI or PII?
• How many counties did Wellcare add to their footprint for 2023?
• The Wellcare preferred pharmacy network includes which of the following?
• When requesting or distributing PHI, what should you ensure?
• Can agents who have never had any verbal warnings be issued a Corrective Action Plan?
• What must be provided to the beneficiary after application completion?
• In compliance with Wellcare policy, information about plan benefits should be:
• What must agents fulfill to sell Wellcare’s Medicare products?
• What formats can the communication of PHI take?
• What stage of coverage is commonly referred to as the "donut hole"?
• How many health plans are part of Wellcare's consolidation strategy?
• True or False: Centene requires all contracted agents to agree to its Business Ethics and Code of Conduct Policy.
• Which of the following can trigger an investigation into an agent's noncompliant activity?
• True or False: You should enter the provider ID of a specialist and not a Primary Care Physician (PCP) when completing an application.
• What is NOT a requirement for agents during telephonic enrollments?
• Why is it important to secure PHI and PII?
• Which of the following is NOT considered a quality driver for Wellcare?
• What is one characteristic of Wellcare's Medicare product offerings?
• Which method can lead to an incorrect entry of a Medicare ID?
• What is required when an agent is contacted regarding compliance issues?
• Which standalone Prescription Drug Plan is considered best for "dual-eligible" members?
• Which stage of coverage is commonly referred to as the "donut hole" for drug coverage costs?
• What should you avoid when sending emails that include PHI or PII?
• Which of the following is not considered a quality driver for Wellcare?
• What is the best standalone Prescription Drug Plan for "dual-eligible" members?
• What is the minimum time period for submitting a grievance after becoming aware of an issue?
• How many standalone PDP plans will Wellcare have for 2022 after consolidation?
• In terms of PHI, which method of communication is discouraged?
• When must agents undergo training and certification for Wellcare's products?
• Is verbal permission granted to discuss plan details sufficient for an authorized representative to complete an application on behalf of the beneficiary?
• What is an appropriate action to secure documents containing PHI or PII?
• Verbal permission granted to discuss plan details does NOT qualify an authorized representative to complete an application on behalf of the beneficiary. True or False?
• What is the new total number of standalone PDP offerings Wellcare has streamlined to?
• What percentage increase does Centene's 2023 product expansion represent from 2022?
• What should agents ensure regarding member payments when discussing plans?
• What is required in the event that a beneficiary is not informed about their trusted provider being out-of-network?
• Which health plans will be included in the Wellcare Medicare brand for 2022?
• Which statement regarding the Wellcare PDP plan consolidation is incorrect?
• In what format should sensitive communications of PHI occur?
• What is one action to take if an agent suspects noncompliance within their organization?
• What is required when contacted regarding an allegation of noncompliant activity?
• What will members in plans affected by the 2022 PDP contract consolidation receive?
• Which of the following actions is NOT a step to safeguard PHI and PII?
• When distributing Protected Health Information (PHI), what is the primary principle to follow?
• Upon completion of enrollment, can an agent save a copy of the application for their records?
• By how many counties did Wellcare expand its footprint for 2023?
• In how many states does Wellcare offer its products and plans?
• What is the maximum time frame for filing a grievance request concerning an event or issue?
• What is the consequence of incorrect enrollment periods noted on applications?
• What does the acronym PHI stand for in a healthcare context?
• True or False: The Wellcare preferred pharmacy network has expanded in 2023.
• What is the primary responsibility of ensuring proper PHI handling?
• What action is required when contacted regarding an allegation of noncompliant activity?
• What percentage increase did Wellcare's 2022 product expansion represent from 2021?
• How does the SSM affect member spending on medications?
• Which of the following is not considered a grievance?
• Which of the following is true about the LIS copay categories?
• Which pharmacies are included in the Wellcare preferred pharmacy network in 2023?
• Which model is designed to reduce member spending on insulin?
• Which of the following statements about an agent's control over Star Ratings is true?
• What is the tier structure for all standalone PDP formularies in 2022?
• Will all PDPs continue to offer SD Tier 1 preferred cost-sharing through CVS Medication Home Delivery?
• What percentage did Wellcare’s product expansion increase in 2022 from 2021?
• Which of the following best describes the copay structure for LIS members under Wellcare plans?
• Which plan is expected to have one of the lowest premiums in the country?
• Which of the following is an example of information that is NOT considered Protected Health Information (PHI)?
• What is a primary concern that agents should address to maintain compliance with Wellcare?
• You can help prevent grievances by:
• Under what circumstance may an agent be terminated for cause?
• What will agents be equipped to do after completing the ACT training?
• What is a benefit of selecting the correct provider during the enrollment process?
• Why is it important to note the correct enrollment period on enrollment applications?
• What does 'D-SNP' stand for in the context of Wellcare's offerings?
• What is TRUE about the verification process when handling beneficiary data?
• Which document is essential for safeguarding Protected Health Information?
• Under the Wellcare plans, which tier typically involves the lowest cost-sharing?
• How many new counties did Wellcare add to its footprint in 2022?
• Which factor is monitored for improving member satisfaction in Star Ratings?
• Which of the following is not considered Protected Health Information (PHI)?
• In what year did Wellcare add new counties to its footprint?
• All agents must comply with which of the following when selling Wellcare plans?
• Which of the following statements about completing telephonic enrollments is FALSE?
• How can agents be investigated for noncompliant activity?
• What is the purpose of the Part D Senior Savings Model (SSM)?
• Which health plans will be consolidated into the Wellcare Medicare brand for the 2022 plan year?
• How many standalone PDP offerings has Wellcare streamlined from?
• When enrolling a D-SNP beneficiary, what is crucial to verify?
• According to Centene, is it true that an agent must read and agree to the Business Ethics and Code of Conduct Policy?
• What could failure to inform a beneficiary about an out-of-network provider lead to?
• How many new counties did Wellcare add to its footprint in 2022?
• When contacted regarding an allegation of noncompliant activity, what is required?
• Which of the following is NOT considered a quality driver for Wellcare?
• What does a 6-tier formulary structure imply for prescription coverage?
• What action should be taken when contacted regarding an allegation of noncompliant activity?
• What guidelines must agents practice according to Wellcare?
• Which group of individuals may agents be authorized to assist under certain conditions?
• What is required to represent a beneficiary in an application process?
• How many LIS copay categories can be assigned to a member based on their level of need?
• What must agents do to be eligible to sell Wellcare's Medicare Products?
• Which standalone Prescription Drug Plan is most suitable for "dual-eligible" members?
• Which organization primarily administers the Part D Senior Savings Model?
• Will members in all plans affected by the 2022 PDP contract consolidation be reissued an ID card?
• Which statement is true regarding the communication of PHI?
• What is the purpose of the $0 tier 1 benefit?
• Which plan will continue to offer a discount for 90-day tier 2, tier 3, and tier 6 prescriptions for Medication Home Delivery?
• Does Wellcare offer a variety of Medicare products under a single brand?
• How many LIS copay categories could be assigned to a member?
• Which pharmacy will no longer be a preferred option for 2022?
• What kind of feedback is important for controlling Star Ratings?
• What is required to be included when distributing PHI?
• What is the intention behind Wellcare's quality focus in its Medicare programs?
• What health plans does the ACT information equip agents to certify, market, and sell?
• Which activity might indicate an issue related to compliance that requires attention?
• How does Wellcare's 2022 product expansion compare to that of 2021?
• Will all PDPs feature a $0 tier 1 benefit when filled at preferred pharmacies?
• What is the Tier 1 retail and mail benefit for all Wellcare standalone PDP plans?
• Why is it important to note the correct enrollment period on applications?
• Which of the following is not included as a quality driver in Wellcare’s strategy?
• Upon completing the application for a beneficiary, what is mandatory to provide?
• Which of the following can be a reason for a beneficiary complaint?
• What action should agents prioritize according to the guidelines set forth in the guidelines?
• Is it important to verify plan enrollment eligibility when enrolling a D-SNP beneficiary?
• In how many states does Wellcare offer a robust portfolio of products and plans?
• Can agents who have never had any verbal warnings be issued a corrective action plan?
• Which statement about the agent of record is INCORRECT regarding plan consolidation?
• True or False: All Wellcare’s standalone PDP plans have a $0 Tier 1 preferred retail and mail benefit.
• Which of the following states has new PPO D-SNP product expansion?
• What is the role of a Sales Agent/Broker in relation to quality ratings?
• Is it true that Wellcare offers the Part D Senior Savings Model on Value Script and Value Plus products?
• What is the correct course of action for handling documents that contain Protected Health Information (PHI)?
• When completing an application, the provider ID of which type of physician should you enter?
• Which of the following is a safe practice for securing PHI?
• What percentage increase does Centene's 2023 product expansion represent from 2022?
• Which pharmacy will no longer be a preferred pharmacy in 2022?
• What type of cost-sharing will all PDPs continue to offer through CVS Medication Home Delivery?
• When completing an application, who’s provider ID should be entered?
• Can member PHI be stored on external hard drives or cloud storage services?
• What is a recommended practice regarding laptops that contain PHI or PII?
• What is the minimum passing score required to complete the Wellcare training course?
• Wellcare offers a range of Medicare plans to provide members with affordable access to:
• What key areas directly affect Star (Quality) Ratings for Sales Agents/Brokers?
• Which pharmacy chains are included in the Wellcare preferred pharmacy network as of 2023?
• What must you provide to the beneficiary upon completion of the enrollment application?
• What should you do to ensure accurate data entry when dealing with Medicare IDs?
• Which component is essential for all PDPs in relation to cost-sharing?
• Once enrollment is completed, is it possible to save a copy of the application for personal reference?
• In case of any grievance, what should be confirmed prior to accepting a beneficiary’s enrollment application?
• Which of the following is a requirement during a compliance investigation?
• What is the focus of Wellcare's quality strategy?
• When completing an application, should you enter the provider ID of a specialist instead of a primary care physician (PCP)?
• What might trigger an investigation into agents for noncompliant activities?
• How many PDPs will be offered across all 50 U.S. states and Washington, D.C.?
• Will all PDPs continue to offer $0 tier 1 preferred cost-sharing through CVS Medication Home Delivery?
• Which plan will continue to offer a discount for 90-day tier 2, tier 3, and tier 6 prescriptions?
• What encompasses the training material for Wellcare and Centene's annual certification?
• Which of the following is a core element of Wellcare's quality focus?
• What should be entered into an application regarding provider IDs?
• What happens to the Agent of Record (AOR) after the consolidation process?
• Which statement is true regarding the safety of storing member PHI?
• Which aspect should be verified for requested plan enrollment?
• What is the purpose of the Part D Senior Savings Model (SSM)?
• Which health plans can agents certify, market, and sell after completing the ACT?
• How many PDPs will be offered across all 50 U.S. states and Washington, D.C.?
• How many states does Wellcare operate in with its health products and plans?
• Which standalone Prescription Drug Plan is identified as better for a dual-eligible chooser?
• Which product line includes the Part D Senior Savings Model (SSM) for insulin cost reduction?
• What benefit does the SSM specifically target for Wellcare members?
• Is verbal permission necessary for an authorized representative to discuss plan details on behalf of a beneficiary?
• What is a focus area of Wellcare's Medicare Star Ratings and performance strategy?
• Can member PHI be stored on an external hard drive or cloud storage service?