They are educational events, + xp0W:t|}S>6I1/FG'AoN f!ZtYR~=9Vm Cs,PCF%Q"j#j$72c}^=lF @ U.S. Department of Health & Human Services As part of CMS implementation of the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008, CMS has revised the Medicare Marketing Chapter to include the latest provisions in the current guidance. In 2021, Medicare beneficiaries will have, on average, 33 Medicare Advantage plans and another 30 stand-alone Part D prescription drug plans available in their market. In the fall of 2017, CMS launched the Patients over Paperwork initiative. WebThe Medicare Advantage (MA) and Part D Marketing and Communications (MCMG) provides the marketing and communications requirements for Medicare Advantage (MA) plans, Share sensitive information only on official, secure websites. In order to initiate conversations with prospects in person or by phone you will need to have permission to call/contact (PTC). An official website of the United States government Any information we provide is limited to those plans we do offer in your area. You can decide how often to receive updates. Ambetter Value plans are available in: Broward, Clay, Duval, Hillsborough, Lake, Miami-Dade, Orange, Osceola, Palm Beach, Pasco and Seminole counties. In other words, if you are talking Medicare with someone get a scope. Reviews are done through the carriers in most cases. OK Find a Provider pgA +tKe.hT+mqOi^Ef(V: 09\O^]S`Uj0? means youve safely connected to the .gov website. CMS is finalizing a technical change to enable CMS to calculate the 2023 Part C Star Ratings for the three Healthcare Effectiveness Data and Information Set (HEDIS) measures collected through the Health Outcomes Survey: Monitoring Physical Activity; Reducing the Risk of Falling; and Bladder Control. Take a look for yourself below. incorporated into a contract. The Marketing guidelines reflect CMS' interpretation of the marketing requirements and related provisions of the Medicare Advantage and Medicare Prescription Drug Benefit rules (Chapter 42 of the Code of Federal Regulations, Parts 422 and 423). CMS also has rules for when you are allowed to market products and the way you can do it. A federal government website managed by the 422.2265: Websites. Communication pieces are more general and provide non specific information. 2 0 obj %PDF-1.7 Secure .gov websites use HTTPSA endstream endobj 560 0 obj <>>>/Lang( E N - U S)/MarkInfo<>/Metadata 52 0 R/Names 583 0 R/Outlines 643 0 R/OutputIntents 557 0 R/PageLayout/OneColumn/PageMode/UseOutlines/Pages 554 0 R/StructTreeRoot 81 0 R/Type/Catalog/ViewerPreferences<>>> endobj 561 0 obj <>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 43/Tabs/S/Type/Page>> endobj 562 0 obj <>stream By: Michelle M. Saavedra The most wonderful time of the year is here! This works for health type products only however. Guidance for this document can be located at https://www.cms.gov/Medicare/Health-Plans/Managed Care Marketing/Final Part C Marketing Guidelines. Required fields are marked *. 4 0 obj 0 or .gov Guidance for Pace marketing guidelines and marketing requirements and related provisions of the Programs of All-inclusive Care for the Elderly (PACE) rules (Chapter 42 of the Code of Federal Regulations (CFR), Part 460 (See Appendix 1 for a list of related laws and regulations). PTC forms can now be used for more than one enrollment period. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Marketing Models, Standard Documents, and Educational Material, Agent/Broker Dos and Don'ts - Translated (CY 2023) (ZIP), CY2023 Model Materials - Reissued 12-15-2022 (ZIP), CY2023_Part C_Translated_DSNP_Model_Materials_-_Chinese_and_Spanish (ZIP), Agent/Broker Dos and Don'ts - 9-2022 (PDF), CY_2023_Part C_Translated Model_Materials_Chinese (ZIP), CY_2023_Part C_Translated_Model_Materials_Spanish (ZIP), CY2023 Agent Broker Training Testing Guidelines - Updated 08-03-2022 (DOCX), Agent/Broker Dos & Don'ts - Translated (ZIP), Agent/Broker Dos & Don'ts - 9-2021_ (PDF), CY_2022_Part_C_Translated_Model_Materials_Spanish (ZIP), CY_2022_Part_C_Translated_Model_Materials_Chinese (ZIP), CY 2022 Agent-Broker Training and Testing Guidelines_revised 7-6-2021 (PDF), 2021_Part_C_Translated_Model_Materials_Spanish (ZIP), 2021_Part_C_Translated_Model_Materials_Chinese (ZIP), CY_2021_ MA_and_Section_1876_Cost_Plan_Provider_Directory_Model_7-08-2020 (PDF), 2021_Agent_Broker_Training_Guidelines_Revised (DOCX), 2020 Translated Part C Model Materials_Spanish 2 (ZIP), 2020 Translated Provider Directory Models (ZIP), 2020 Agent Broker Training Testing Guidelines (PDF), 2019 Model Materials Updated 12-13-18 (ZIP), 2019 Model Materials - Translations (ZIP), 2019 Translated Model Materials_Part C EOC_SPA (ZIP), 2019 Translated Model Materials EOC Chinese (ZIP), 2019 Agent Broker Training Guidelines_Revised 08.20.18 (PDF), 2018 Model Materials - Translations (ZIP), 2017 Model Materials - Translations (ZIP), 2015 Model Materials - Translations (ZIP). Prospects can use the site to compare plans, check doctors, run drug comparisons and enroll in plans. .gov WebGeneral marketing requirements. } CLICK HERE TO ACCESS MEDICARE MARKETING CMS MCMG MEMO. Agent/Broker Training & Testing Guidelines are posted for Plans/Part D sponsors to use at a minimum, and is a high-level breakdown of the criteria for development of individual training and testing for agents/brokers. In addition, they can compare drug plans in a manner similar to the Medicare drug plan finder site. To sign up for updates or to access your subscriber preferences, please enter your contact information below. ) This plan has been rated 3.5 out of 5 stars. It should focus more on promoting your services and general information about Medicare. Stay away from using any absolute statements on materials or during presentations. Share sensitive information only on official, secure websites. This FAQ walks through both permitted and LEARN WHAT WE HAVE TO OFFER HERE. While CMS guidelines no longer include requirements of 12pt font on marketing materials, due to the vision realities of people as they age, it is still recommended and the This chapter contains revisions in most of the sections within the manual chapter, however, there are some sections that have not been revised, but are included in this instruction as well. website belongs to an official government organization in the United States. XM! Any website CMS considered marketing must be submitted for review and approval through the Health Plan Management System (HPMS). The seminars will be not only in Westchester and Putnam but also Dutchess counties. Current guidance and model member materials issued by CMS through the Health Plan Management System (HPMS) appear below. The difference between the two is the material used and intent of the material. WebCMS COVID-19 Reporting Requirements for Nursing Homes June 2021 [PDF 300 KB] CMS Press Release: CMS Announces Relief for Clinicians, Providers, Hospitals and Facilities Participating in Quality Reporting Programs in Response to COVID-19 [PDF 400 KB] CDC and CMS Issue Joint Reminder on NHSN Reporting Director, Medicare Drug Benefit and C & D Data Group. t18:14Xw8zxs For information on the Medicare Open Enrollment Period Click Here. Official websites use .govA Marketing Guidelines MCS Improving or Maintaining Mental Health MedPAC Medicare Payment Advisory contract year 2021 and 2022. hbbd```b``"@$c*dHR0,f@0y,"IK 6w % $fk00120 FIGG .gov They cannot include plan specific information and cannot be intended to steer someone towards a specific plan. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov. The Department may not cite, use, or rely on any guidance that is not posted Sign up to get the latest information about your choice of CMS topics. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 13 0 R 16 0 R 17 0 R 21 0 R 22 0 R 28 0 R 30 0 R 33 0 R 34 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 44 0 R 45 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 52 0 R 53 0 R 55 0 R 56 0 R 57 0 R 58 0 R 59 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> endstream endobj 563 0 obj <>stream DISCLAIMER: The contents of this database lack the force and effect of law, except as The guidelines allow organizations offering both Medicare Advantage and Prescription Drug Plans the ability to reference one document when developing marketing materials. lock Cano Health Medical Centers Centrum Medical Center Fox Medical Center IMC Health Medical Centers MedFlorida Medical Center UniVida Medical Center Community Medical Group is currently the main provider for the Ambetter Value Network. And dont get me started on the unofficial holiday song that was released back in 1994 (yes, we are talking about Mariah Careys single: All I want for Christmas is you). HHS is committed to making its websites and documents accessible to the widest possible audience, Click for updated Medicare Lead Program Free Medicare Lead Program (Turning 65/Med Supplement Leads) We have made some changes toRead more, How To Start Selling Medicare Insurance How To Start Selling Medicare Insurance: There are a number of articles on the web advising How To Start Selling Medicare Insurance. Sponsors still are falling behind in their postmarket reporting, according to the FDAs yearly update on progress of postmarketing requirements/commitments. Schedule marketing appointments immediately after the meeting You cannotdo the following: Require anyone to sign on or provide contact information Hand out or take applications or other plan specific information- (This is a marketing event) Give away cash prizes Provide or take enrollment forms Discuss carrier specific information The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. We provide agents with their own compliant website through Connect4Medicare. Heres how you know. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Medicare Communications and Marketing Guidelines 3-16-2022 (PDF), CY 2016 Medicare Marketing Guidelines (PDF), Medicare Marketing Guidelines 06.28.13 (ZIP), CY2018MedicareMarketingGuidelines_Final072017 (PDF), CY2019 Medicare Communications and Marketing Guidelines_Updated 090518 (PDF), Medicare Marketing Guidelines 06.17.14 Updated with Issue Date (ZIP), Medicare Communications & Marketing Guidelines Update Memo - 8-6-19 (PDF), Medicare Advantage Marketing Regulations - 422 Subpart V, Medicare Part D Marketing Regulations - 423 Subpart V. Federal government websites often end in .gov or .mil. <> View the model marketing materials in the Downloads section below. Toll Free Call Center: 1-877-696-6775. 189 0 obj <>/Filter/FlateDecode/ID[<731268243A464E09A5CB70A201055789>]/Index[159 61]/Info 158 0 R/Length 118/Prev 733811/Root 160 0 R/Size 220/Type/XRef/W[1 2 1]>>stream Medical Insurance Commissions Medical commissions apply to all metal Share sensitive information only on official, secure websites. Make sure to do the scope form prior to starting the meeting however. This means that all marketing materials must be clear, and accurate, and not promote any plans inappropriately. Only light snacks and refreshments. A federal government website managed by the 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Marketing Models, Standard Documents, and Educational Material, CY2018MedicareMarketingGuidelines_Final072017 (PDF), CY2019 Medicare Communications and Marketing Guidelines (PDF), Medicare Marketing Guidelines 06.17.14 Updated with Issue Date (ZIP), CY 2016 Medicare Marketing Guidelines (PDF), Medicare Marketing Guidelines 06.28.13 (ZIP). Agents are still not able to make unsolicited contact to prospects for MA, MAPD or PDP by phone or in person in common areas. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. %%EOF View the Agent/Broker Training & Testing Guidelines in the Downloads section below. H\n@yL. Web( 2) The material has been deemed approved; that is, CMS has not rendered a disposition for the material within 45 days (or 10 days if using CMS model or standardized marketing https:// Medicare Advantage Organizations, Prescription Drug Plans, and Section 1876 Cost Plans may rely on the contract year (CY) 2019 Medicare Communications and Marketing Guidelines (MCMG), which can be found at lock During a sales event: Sales events are an attempt to steer someone into a specific plan. WebMarketing rules for Medicare plans People representing Medicare plans aren't allowed to: Ask for your personal information (like your Medicare, Social Security, bank account, or credit card numbers) over the phone unless its needed to verify membership, determine enrollment eligibility, or process an enrollment request. For starters, you must wait until October 1 to market, talk about or review the new plans for the coming year for AEP. lock They are even needed if the meeting did not result in a sale. The .gov means its official. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); With licensed sales professionals in both the investment and insurance fields, the experienced and knowledgeable team at Crowe & Associates can tend to your various needs. In addition, an email should not be intended to steer someone into a specific plan. WebMarketing Guidelines such that the MAO cannot comply with both, the MAO must comply with 2021, a communication plan and all draft communication(s) for that change, must be All other CMS requirements relating to the review of marketing materials under 42 C.F.R. On October 8, 2021, CMS released guidance regarding third-party marketing to Medicare Advantage organizations. The most recent memo from CMS is available below through the link. 200 Independence Avenue, S.W. Compliance is an important aspect of offering Medicare plans. Starting January 1, 2023, Ambetter Value plan members can access providers in the below list for all medical needs. X;/?~I(A@%EOMG1Rc9 5:E[0n8 means youve safely connected to the .gov website. (You can offer meals at educational events), Avoid absolute statements This is the best Medicare Advantage plan, You must have a sign in sheet but cannot require anyone to sign in. The site is specific and codded to you the agent. 200 Independence Avenue, S.W. Click Here, We do not offer every plan available in your area. We are in the process of retroactively making some documents accessible. CLICK HERE FOR UPDATED POST Because we periodically receive leads or money for leads from aRead more, Teladoc, Lasik Vision Correction, Discount Dental,Vision,Rx Sales Contract In short: This post shares some information about services available to patients throughTeladoc, Lasik Vision Correction, Discount Dental,Vision,Rx Sales Contract Teladoc is a national network of U.S.Read more, American Progressive sales seminars American Progressive is in the process of interviewing agents to run American progressive sales seminars. Are you contracted with Ambetter yet? If the materials are not generic in nature they will be considered marketing and require CMS review. Secure .gov websites use HTTPSA The Vice President of Communications oversees the organization's communications, editorial, media, design and advertising sales functions to produce a wide range of high-quality, accessible and compelling communication products and content for a diverse set of member and external audiences. Download the Guidance Document Final Issued by: Centers for Medicare & Medicaid Services (CMS) Issue Date: January 01, 2020 HHS is committed to making its 1 0 obj 1 %PDF-1.7 % Overall, the holiday season seems to bring joy and family unity around the world. on the guidance repository, except to establish historical facts. An official website of the United States government Washington, D.C. 20201 The purpose of the SOA is to ensure you will not be discussing products with the client/prospect other than those chosen prior to the appointment. Share sensitive information only on official, secure websites. Because these plansRead more, Free Medicare Lead Program (Turning 65/Med Supplement Leads) NOTE: We have updated our lead program. Medical Insurance Commissions Medical commissions apply to all metal levels and plans sold on or off Marketplace. DISCLAIMER: The contents of this database lack the force and effect of law, except as ( Full commission (directly from the carriers) and no minimum production needed to start. The site is secure. x]nI}7\E23w=DHgs3"(JY'%PNFfV{g>7vu}6ULTugO'w~O]}'??.9{O~U5{`nv.!UMZ1C(=kUUh1/_f^J|giqT_^.'Z_. endstream endobj 160 0 obj <>>> endobj 161 0 obj <. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. For Medicare Advantage Plans. WHY WORK WITH US? lock Following TPMO Guidelines CMS now considers agents and brokers to be third-party marketing organizations (TPMOs). a new appointment will need to be made. hb```a``Zk @16, TX3 "N E{8Q*~gc{;Cu6c8CVjm/i~e?]3t1. Link to recorded webinar https://attendee.gotowebinar.com/recording/2899290519088332033, All agents receive a personalized enrollment website. An official website of the United States government. and which has been designated by CMS as meeting the requirements of an MA SNP as At that time, any new medical sales commissions due will be paid, starting from the first 2023 application. on the guidance repository, except to establish historical facts. Issued by: Centers for Medicare & Medicaid Services (CMS). stream ( Advancing is not available. You also must discuss the current star rating of plans and let the prospect know that it is out of 5 stars. The guidelines allow organizations offering both Medicare Advantage and Prescription Drug Plans the ability to reference one document when developing marketing materials. You are able to start taking/submitting applications on October 15th. Agents and brokers must record all calls (inbound and outbound calls) in their entirety, including calls to inform or educate clients about the event, as well as any post-event discussions. Plans may now contact Your email address will not be published. 'j0"0",NG)1p8i{^h38R ur@msO;F$A$gOyOOr[{YxqyIJ. means youve safely connected to the .gov website. Even for events held by phone only. Heres how you know. The seminarsRead more, Building A Medicare Sales Agency Building A Medicare Sales Agency: There are a number of different models you can use when you build a Medicare sales agency. These materials include the HPMS memorandum titled, Updates Regarding Final Part C EOB Model Templates and Implementation of the Part C EOB, the final templates and instructions, and Frequently Asked Questions regarding the Part C EOB requirements for Medicare Advantage Organizations, effective April 1, 2014. Agents should also avoid using the word free when talking about $0 premium plans. i !q Pf`qH X$AQ e&ExLL^LLA+nLuI-t)P&|neJrX!q@?,@mA website belongs to an official government organization in the United States. WebHealth Net Medicare providers can review training and marketing guidelines to ensure services and coverage determinations are accurate. Same day scopes of compliant. TI3*=0 CMS replaced the models that were previously posted on this website to reflect the OMB approval number and expiration date. website belongs to an official government organization in the United States. Manages the alignment of MOAAs The SOA is used to document the type of products you will be discussing once you have a meeting.
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