Medicare Communications and Marketing Guidelines 559 0 obj <> endobj 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 Provider Medicare Training & Marketing Guides | Health Net Skip to Main Content Healthnet.com uses cookies. In addition, they can compare drug plans in a manner similar to the Medicare drug plan finder site. Sign up to get the latest information about your choice of CMS topics. Meetings and presentation fall under one of three categories. %PDF-1.7 means youve safely connected to the .gov website. Medicare Educational Event Rules 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 A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 1 0 obj View the Agent/Broker Training & Testing Guidelines in the Downloads section below.  5 WebThe Centers for Medicare & Medicaid Services (CMS) reminds organizations of critical Medicare Part C and D readiness items prior to the 2020 Annual Election Period (AEP) and While plans may deplete existing hard copy stock, they should add the approval number and expiration date to the online versions and newly produced hard copies by January 1, 2020. During a sales event: Sales events are an attempt to steer someone into a specific plan. CMS replaced the models that were previously posted on this website to reflect the OMB approval number and expiration date. DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Medicare-Medicaid Plan (MMP) Marketing Information & Resources, List of Covered Drugs - English & Spanish, Provider and Pharmacy Directory - English & Spanish, Medicare-Medicaid Plan (MMP) Application & Annual Requirements, Medicare-Medicaid Plan (MMP) Reporting Requirements, Medicare-Medicaid Plan (MMP) Audit Programs, Medicare-Medicaid Plan (MMP) Encounter Data Reporting, Medicare-Medicaid Plan (MMP) Quality Withhold Methodology & Technical Notes, Medicare-Medicaid Plan (MMP) Chronic Care Improvement Programs & Quality Improvement Projects, CY 2023IllinoisMMP Model Materials Memo (PDF), CY 2023Illinois MMP Marketing Guidance (PDF), CY 2023 MassachusettsMMP Model Materials Memo (PDF), CY 2023Massachusetts MMP Marketing Guidance (PDF), CY 2023 Michigan MMP Model Materials Memo (PDF), CY 2023Michigan MMP Marketing Guidance (PDF), CY 2023Minnesota Plan Model Materials Memo (PDF), CY 2023Minnesota PlanMarketing Guidance (PDF), CY 2023 New York FIDA-IDD MMP Model Materials Memo (PDF), CY 2023New York FIDA-IDD MMP Marketing Guidance (PDF), CY 2023 Ohio MMP Model Materials Memo (PDF), CY 2023Ohio MMP Marketing Guidance (PDF), CY 2023 Rhode Island MMP Model Materials Memo (PDF), CY 2023Rhode Island MMP Marketing Guidance (PDF), CY 2023 South Carolina MMP Model Materials Memo (PDF), CY 2023South Carolina MMP Marketing Guidance (PDF), CY 2023 Texas MMP Model Materials Memo (PDF), CY 2023Texas MMP Marketing Guidance (PDF), Explanation of Benefits - Integrated & Drug-Only, Provider& Pharmacy Directory - English & Spanish, Annual Notice of Change - English & Spanish, Explanation of Benefits (EOB) - Drug Only & Integrated, Annual Notice of Change - English& Spanish, Explanation of Benefits (EOB) - Drug Only, Integrated Coverage Determination Notice (ICDN) Models, Provider & Pharmacy Directory - English & Spanish. In addition, we are also providing clarification to the existing guidance. We can expect to see Christmas decorations just about everywhere. incorporated into a contract. An official website of the United States government Cigna just announced their 2023 ACA commission schedule! Medicare Marketing Guidelines | CMS LEARN WHAT WE HAVE TO OFFER HERE. The Marketing guidelines reflect CMS' interpretation of the marketing requirements and related provisions of the Medicare Advantage and Medicare Prescription Only light snacks and refreshments. CMS also has rules for when you are allowed to market products and the way you can do it. website belongs to an official government organization in the United States. lock In other words, if you are talking Medicare with someone get a scope. Chapter 3. Medicare Marketing Guidelines | Guidance Sign up to get the latest information about your choice of CMS topics. Be careful not to confuse a PTC with a Scope of appointment form. Washington, D.C. 20201 36>=#n!9OB2J{k+ye|8exK2rTx6>#8g-o,.@L [ZGkhyGGGCZ[^;85M L`P83p2@A >(d'X(^`ocTcdPs`/;5Auscv|]B8Uj7g6````>nH "y g` c? View the Part C EOB materials in the Downloads section below. endobj (SOA) The PTC is used to start contact with a prospect. Before sharing sensitive information, make sure youre on a federal government site. Commissions will be paid on posted premiums applied to the agents or agencys clients eligible cases. 422.2264: Beneficiary contact. Prospects can use the site to compare plans, check doctors, run drug comparisons and enroll in plans. You also must discuss the current star rating of plans and let the prospect know that it is out of 5 stars. on the guidance repository, except to establish historical facts. Each year CMS and states participating in the Financial Alignment Initiative (FAI) jointly update state-specific marketing guidance and model member materials required for use by Medicare-Medicaid Plans (MMPs) and Minnesota Senior Health Options (MSHO) Plans. sH2jy + a&@GJh& +%V,fpt!9'cfO+Ip|L2\1 The SOA is used to document the type of products you will be discussing once you have a meeting. This works for health type products only however. .gov Managed Care Chapter 3 - Marketing Guidelines In fact, two of the plans will beRead more, Medicare Leads Available At No Cost Note: Our blog: Medicare Leads Available At No Cost program has been changed. Cigna just announced their 2023 ACA commission schedule! or Among the salient points: Medicare Advantage Organizations are responsible for first tier, downstream or related entities (FDRs) adherence to all terms and conditions of the organizations contract with CMS WebHealth Net Medicare providers can review training and marketing guidelines to ensure services and coverage determinations are accurate. View the model marketing materials in the Downloads section below. 4 0 obj On October 8, 2021, CMS released guidance regarding third-party marketing to Medicare Advantage organizations. CMS Requirements Sign up to get the latest information about your choice of CMS topics. Your email address will not be published. eCFR :: 42 CFR Part 422 Subpart V -- Medicare Advantage X;/?~I(A@%EOMG1Rc9 5:E[0n8 Agility Agents have learned from us that incorporating trending themes into their online content strategy plan will help them achieve their marketing goals. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. including individuals with disabilities. Chapter 3. Medicare Marketing Guidelines. Medicare Marketing Guidelines - Centers for Medicare ( CMS Marketing } g9fT'MzhrUJ"%$%*%\3j=)#|l_G___|~u,u*52 ]G'co%:lO>mVXIWc#$P1+/24 General information is followed by state-specific information, which is alphabetized by state name. [M7XRM v:rY DXF4UbT+"J%p$ endstream endobj startxref Centers for Medicare & Medicaid Services Center for Medicare 582 0 obj <>/Filter/FlateDecode/ID[<5F2038F586BEA94FAD73980201E44AA1>]/Index[559 140]/Info 558 0 R/Length 121/Prev 362965/Root 560 0 R/Size 699/Type/XRef/W[1 3 1]>>stream For example, the same PTC can be used during AEP and OEP. CMS Required fields are marked *. They are educational events, sales events and individual appointments. Stay up to date with Medicare Marketing Guidelines by attending our Medicare Training Series live events! American Progressive Medicare Contracting, Teladoc, Lasik Vision Correction, Discount Dental,Vision,Rx Sales Contract, Medicare Advantage vs Supplement Plans Sales, Free Medicare Lead Program (Turning 65/Med Supplement Leads), https://attendee.gotowebinar.com/recording/2899290519088332033, Report the event prior to conducting and advertising it, You can distribute and collect applications, Call attendees from the sales event if they provided permission to contact (Gave you a PTC card or flyer), You cannot offer meals. WebChapter 3 Medicare Marketing Guidelines For Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, and 1876 Cost plans The Guidelines are for use by Medicare Advantage Plans (MAs), Medicare Advantage Prescription Drug Plans (MA-PDs), Prescription Drug Plans (PDPs) and 1876 Cost Plans. U.S. Department of Health & Human Services Final 2022 Rule for Medicare Parts C and D Released By Trump Communication materials do not require CMS approval. hmo6 Compliance is an important aspect of offering Medicare plans. x]nI}7\E23w=DHgs3"(JY'%PNFfV{g>7vu}6ULTugO'w~O]}'??.9{O~U5{`nv.!UMZ1C(=kUUh1/_f^J|giqT_^.'Z_. CMS considers communications and marketing to be two different things. %PDF-1.6 % TI3*=0 WebThe Medicare Advantage (MA) and Part D Marketing and Communications (MCMG) provides the marketing and communications requirements for Medicare Advantage (MA) plans, Secure .gov websites use HTTPSA website belongs to an official government organization in the United States. They are even needed if the meeting did not result in a sale. ( For information on the Medicare Open Enrollment Period Click Here. A Scope of Appointment form is used to document the types of plans you will be discussing with the client or prospect. This plan has been rated 3.5 out of 5 stars. A federal government website managed by the Dental Insurance Commissions The dental commission structure pertains to business with effective dates of 1/1. The seminars will be not only in Westchester and Putnam but also Dutchess counties. On January 19, 2021, CMS issued a final rule entitled Medicare and Medicaid Programs; Contract Year 2022 Policy and Technical Changes to the Medicare Model marketing materials include: the standardized Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) templates and instructions, ANOC/EOC Errata, and Provider Directory. DISCLAIMER: The contents of this database lack the force and effect of law, except as Official websites use .govA Official websites use .govA If you hold or are presenting in a sales event format be sure to follow the rules: Agents are now allowed to have sales event immediately following an educational event. 422.2265: Websites. They cannot include plan specific information and cannot be intended to steer someone towards a specific plan. Current guidance and model member materials issued by CMS through the Health Plan Management System (HPMS) appear below. Full commission (directly from the carriers) and no minimum production needed to start. WebConsultor SEO Jose Rdenas (Alicante): dedicado al posicionamiento web orgnico, el SEM, el marketing online y la la digitalizacin de empresas desde 2005. The .gov means its official. Access to all major carriers with the ability to compare plan benefits and prescription drug costs. Pace Marketing Guidelines endobj %%EOF This section includes standardized outreach and educational material for Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, and 1876 Cost Plans. or 3 0 obj WHY WORK WITH US? The guidelines allow organizations offering both Medicare Advantage and Prescription Drug Plans the ability to reference one document when developing marketing materials. WebGeneral marketing requirements. means youve safely connected to the .gov website. authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically stream https:// 5 Social Media Content Ideas for December, blue cross and blue shield of texas bonus program, Bright HealthCare Expands ACA in 42 New Markets, temporary special enrollment period unwinding, unitedhealthcare individual and family plans. Federal government websites often end in .gov or .mil. hbbd```b``"@$c*dHR0,f@0y,"IK 6w % $fk00120 FIGG Agents are now able to make unsolicited contact with a prospects for MA, MAPD and PDP via email. 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.