UHC Senior Care Options Test Latest
2022
Select which group of individuals might qualify for Medicaid. ✔✔certain families and individuals
Which of the following is true about MassHealth? ✔✔In a sense, it is a combinat
...
UHC Senior Care Options Test Latest
2022
Select which group of individuals might qualify for Medicaid. ✔✔certain families and individuals
Which of the following is true about MassHealth? ✔✔In a sense, it is a combination of Medicaid
and SCHIP (the State Children Health Insurance Plan).
Which of the following is a component of the UnitedHealthcare SCO Plan? ✔✔A Care
Management Team
What is the purpose of UnitedHealthcare SCO plan's care management program? ✔✔Care
Management helps to proactively coordinate and integrate services into one seamless model of
care.
When will Mary's coverage begin if she completes her UnitedHealthcare SCO enrollment
application on May 20? Note: Mary has Medicaid and Medicare and has not used her Dual/LIS
Maintaining SEP for quarter 2. ✔✔May 20 is incorrect
Which of the following questions could you ask the consumer to help determine if they are enrolled
in PACE or another SCO plan? ✔✔Do you currently pay copayments for your prescription drugs?
Which of these is a requirement for enrolling in the UnitedHealthcare SCO plan? ✔✔Resident of
the plan service area
Which of the following applies to a consumer with End Stage Renal Disease (ESRD) and the
UnitedHealthcare SCO plan? ✔✔The consumer may not enroll in the plan unless already enrolled
in a UnitedHealthcare plan or the MA plan in which they were enrolled has terminated.*Which of the following is a reason to avoid enrolling PACE members in UnitedHealthcare SCO?
✔✔These members are very frail and moving to SCO would disenroll them from their PACE plan
and change their providers and care approach.
Which of the following statements best describes UnitedHealthcare SCO plan Primary Care
Provider (PCP) requirements? ✔✔The consumer's PCP must be in the plan's contracted network
or the consumer must select a PCP who is.
Next question
What tool is used by the UnitedHealthcare SCO team to assess the level of each member's health
care needs? ✔✔Health Risk Assessment Tool
When presenting a SCO plan and discussing providers with the consumer, what must an agent do?
(Select 2) ✔✔Explain that a provider's status can change and advise the consumer to call the plan
or look online to see if the provider is still in network before obtaining services.
Look up the providers in the online directory to confirm whether the consumer's providers are in
the network for the specific plan.
If coverage guidelines are met, which one of the following is not typically included in Community
Services? ✔✔Pet grooming
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