Wellcare ACT Mastery Exam Questions and Answers
(Latest 2023 – 2024) Verified Solutions
Centene requires all contracted brokers/agents to read, understand, and agree to
Centene’s Business Ethics and Code of Conduct Policy.
True
False – Correct Answer True
Which of the following actions are you required to do when contacted regarding an
allegation of noncompliant activity?
a.
Speak with the investigator as quickly as possible.
b.
Answer all questions honestly and completely.
c.
Offer information and documents important to the investigation.
d.
All of the above – Correct Answer d.
All of the above
Communication of PHI can be:
(Select all that apply.)
a.
Written
b.
Electronic
c.
Verbal – Correct Answer a, b, c
Wellcare does not need to be informed of all marketing/sales events at which plans or
materials will be presented or distributed (Formal & Informal).
Select one:
True
False – Correct Answer False
Enrollment applications must be received by Wellcare no later than _ calendar day(s)
following receipt from the beneficiary.
a.
1
b.
3
c.
5
d.
7
Clear my choice – Correct Answer a.
1
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted
electronic enrollments.
Select one:
True
False – Correct Answer True
During an appointment, you may not discuss any products not agreed to in advance by
the beneficiary.
Select one:
True
False – Correct Answer True
A Health Risk Assessment (HRA):
a.
Provides physicians with an overview of a member’s health status.
b.
Ensures members are able to access care and receive services that meet their needs.
c.
Is an important part of our quality initiative, directly impacting our Star Ratings.
d.
All of the above – Correct Answer d.
All of the above
Which elements are available as part of Wellcare’s sales support model?
a.
Online
b.
Local
c.
Corporate
d.
All of the above – Correct Answer d.
All of the above
Once the enrollment is completed, you can save a copy of the application for your
reference.
Select one:
True
False – Correct Answer False
Which of the following statements about Scope of Appointment (SOA) is FALSE?
a.