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2026 WELLCARE MASTERY TEST 100 QUESTIONS AND ( ANSWERS)
2026 WELLCARE MASTERY TEST
EXAM 100 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
( ANSWERS)
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 dis 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
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