VanRein Compliance - Devoted Model of Care Questions With Complete Solutions Which types of Medicare Advantage plans need to submit a Model of Care? - Correct Answers ✅Only Special Need Plans (SNPs) Who creates the requirements for a Model of Care? - Correct Answers ✅CMS (the federal government) Compared to members just on Medicare, dual eligibles are more likely to - Correct Answers ✅A + B (Be younger than 65 and Be older than 85) Compared to individuals just on Medicare, dual eligibles are
more likely to: - Correct Answers ✅Both A + B (Have 6 or
more chronic conditions and Have behavioral health or substance abuse challenges) Individuals over 75 are more likely to have cardiac conditions than individuals under 75? - Correct Answers ✅TRUE African Americans, Hispanics, and American Indians have lower rates of diabetes than the general population? - Correct Answers ✅FALSE Which age group of Medicare members has the highest rates of diabetes related hospital events? - Correct Answers ✅Those under 65 1 / 2
VanRein Compliance - Devoted Model of Care Questions With Complete Solutions What are some of the ways Devoted tries to do a Health Risk Assessment (HRA) with SNP members? - Correct Answers ✅- Sales agents and brokers after a prospect completes an application
- Service guides during a welcome call
- A mailed HRA
- Every 365 days since the last HRA
- Correct Answers ✅TRUE
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How often does Devoted have to do a HRA with SNP members? - Correct Answers ✅- Within 90 days of when the member enrolls
Health Risk Assessment results are used to build the care plan for SNP members? - Correct Answers ✅TRUE Every SNP member has an individualized care plan for them?
Which of the following is almost always part of the SNP member's care team? - Correct Answers ✅The member's PCP If you're not on the member's care team, can you work with or help out that SNP member? - Correct Answers ✅Yes