Communication materials do not require CMS approval. Sign up to get the latest information about your choice of CMS topics. endstream endobj 160 0 obj <>>> endobj 161 0 obj <. 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). Pace Marketing Guidelines XM! This section includes standardized outreach and educational material for Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, and 1876 Cost Plans. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. During a sales event: Sales events are an attempt to steer someone into a specific plan. A federal government website managed by the Medicare This means that all marketing materials must be clear, and accurate, and not promote any plans inappropriately. Compliance is an important aspect of offering Medicare plans. Medicare-Medicaid Plan (MMP) Marketing Information & Resources means youve safely connected to the .gov website. CMS requires all marketing websites to be submitted for review. January 1 through March 31 is considered the OEP. lock <> Chapter 3 Medicare Marketing Guidelines - HHS.gov https:// They cannot include plan specific information and cannot be intended to steer someone towards a specific plan. g9fT'MzhrUJ"%$%*%\3j=)#|l_G___|~u,u*52 ]G'co%:lO>mVXIWc#$P1+/24 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. The SOA is used to document the type of products you will be discussing once you have a meeting. Share sensitive information only on official, secure websites. 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). Medicare Marketing Guidelines 2021 - Crowe & Associates sH2jy + a&@GJh& +%V,fpt!9'cfO+Ip|L2\1 ) They are educational events, 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. Same day scopes of compliant. 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). At that time, any new medical sales commissions due will be paid, starting from the first 2023 application. Medicare Communication pieces are more general and provide non specific information. means youve safely connected to the .gov website. lock Medicare 200 Independence Avenue, S.W. 2023 medical commissions for applications one to four will be paid $0 PMPM until the agent or agency reaches five medical applications. or Sales events, on the other hand, are designed to steer, or attempt to steer potential enrollees towards a limited set of plans. and which has been designated by CMS as meeting the requirements of an MA SNP as %PDF-1.7 A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. WebGeneral marketing requirements. The site is specific and codded to you the agent. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov. Agents should also avoid using the word free when talking about $0 premium plans. Advancing is not available. (You can offer meals at educational events), Avoid absolute statements This is the best Medicare Advantage plan, You must have a sign in sheet but cannot require anyone to sign in. 422.2265: Websites. .gov Any website CMS considered marketing must be submitted for review and approval through the Health Plan Management System (HPMS). The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. This works for health type products only however. 698 0 obj <>stream WebThe Medicare Advantage (MA) and Part D Marketing and Communications (MCMG) provides the marketing and communications requirements for Medicare Advantage (MA) plans, LEARN WHAT WE HAVE TO OFFER HERE. The site is secure. We are in the process of retroactively making some documents accessible. %%EOF Qu4 8q ]8!FaO6{dB>8ws#%=MK%E,E*e*!*O|?Q4RRRRSiRiS]O8kgn^0N.iP~3nOF"FD"yza4={ o?l)$Fq\xH*QDEl IU%QJ(D* CMS also has rules for when you are allowed to market products and the way you can do it. 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. or Sign up to get the latest information about your choice of CMS topics. %PDF-1.6 % Dental Insurance Commissions The dental commission structure pertains to business with effective dates of 1/1. By: Michelle M. Saavedra The most wonderful time of the year is here! Be careful not to confuse a PTC with a Scope of appointment form. 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. The site is secure. Before sharing sensitive information, make sure youre on a federal government site. Required fields are marked *. American Progressive Medicare Contracting American Progressive Medicare Contracting: American Progressive will be offering 3 new plans in NY for 2016 in Westchester, Putnam, Dutchess and Ulster counties. Official websites use .govA 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 How to become a Medicare agent If youre interested in how to, Online Enrollment- Enroll prospects online without the need for a face to face appointment. The seminars will be not only in Westchester and Putnam but also Dutchess counties. WebConsultor SEO Jose Rdenas (Alicante): dedicado al posicionamiento web orgnico, el SEM, el marketing online y la la digitalizacin de empresas desde 2005. WebHealth Net Medicare providers can review training and marketing guidelines to ensure services and coverage determinations are accurate. ) .gov In addition, they can compare drug plans in a manner similar to the Medicare drug plan finder site. 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. An official website of the United States government Agents are now able to make unsolicited contact with a prospects for MA, MAPD and PDP via email. 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. Chapter 3. Medicare Marketing Guidelines. 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. X;/?~I(A@%EOMG1Rc9 5:E[0n8 Secure .gov websites use HTTPSA lock WebEach 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 %PDF-1.7 % U.S. Department of Health & Human Services For example, the same PTC can be used during AEP and OEP. ( An official website of the United States government authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically On October 8, 2021, CMS released guidance regarding third-party marketing to Medicare Advantage organizations. Official websites use .govA website belongs to an official government organization in the United States. EJ+QTEEJ+QtE mU|9"TavkY pUqF`%l]7 >m! endstream endobj startxref part 422, subpart V, continue to apply. website belongs to an official government organization in the United States. i !q Pf`qH X$AQ e&ExLL^LLA+nLuI-t)P&|neJrX!q@?,@mA OK Find a Provider Download the Guidance Document Final There is no longer a rule that the SOA needs to be submitted 48 hours prior to the sales appointment. Take a look for yourself below. Medical commissions will be paid for up to four children on the plan. ( hmo6 Provider Medicare Training & Marketing Guides | Health Net Skip to Main Content Healthnet.com uses cookies. Issued by: Centers for Medicare & Medicaid Services (CMS). lock Medicare Advantage plans are offered by private insurance companies. 422.2264: Beneficiary contact. Under the new CMS guidelines, agents selling Medicare Advantage plans can no longer use promotional materials that could mislead, confuse, or exaggerate the benefits of their plans. Any information we provide is limited to those plans we do offer in your area. Issued by: Centers for Medicare & Medicaid Services (CMS). on the guidance repository, except to establish historical facts. In addition, we are also providing clarification to the existing guidance. <>/Metadata 3591 0 R/ViewerPreferences 3592 0 R>> All Rights Reserved. You are able to start taking/submitting applications on October 15th. In addition, an email should not be intended to steer someone into a specific plan. https:// Medicaid 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 Commissions will be paid on posted premiums applied to the agents or agencys clients eligible cases. This revision replaces Chapter 3, Medicare Marketing Guidelines for Medicare Advantage, Medicare Prescription Drug Plans, Prescription Drug Plans and 1876 Cost plans with a new revised Chapter 3. The Department may not cite, use, or rely on any guidance that is not posted WHY WORK WITH US? 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 But before creating any type of content, insurance agents must be able to identify the key traits that characterize their ideal audience. Your email address will not be published. Cigna just announced their 2023 ACA commission schedule! %%EOF Following TPMO Guidelines CMS now considers agents and brokers to be third-party marketing organizations (TPMOs). Marketing Guidelines MCS Improving or Maintaining Mental Health MedPAC Medicare Payment Advisory contract year 2021 and 2022. The guidelines allow organizations offering both Medicare Advantage and Prescription Drug Plans the ability to reference one document when developing marketing materials. CMS replaced the models that were previously posted on this website to reflect the OMB approval number and expiration date. CMS Requirements 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. CMS Updates 2020 Guidelines for Medicare & Medicaid Marketing 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. Sponsors still are falling behind in their postmarket reporting, according to the FDAs yearly update on progress of postmarketing requirements/commitments. The .gov means its official. 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. The most recent memo from CMS is available below through the link. hb```a``Zk @16, TX3 Federal government websites often end in .gov or .mil. Medicare Communications and Marketing Guidelines PTC can be obtained through flyers, business reply cards, PTC forms online leads (Likes or shares on social media platforms are not valid) from vendors and other methods that prospects use to initiate contact. Final 2022 Rule for Medicare Parts C and D Released By Trump Sign up to get the latest information about your choice of CMS topics. (SOA) The PTC is used to start contact with a prospect. This post will outline two of the moreRead more, Medicare Advantage vs Supplement Plans Sales As you can see in this post, Medicare Advantage vs Supplement Plans Sales have a few differences. The Medicare Marketing Guidelines 2021 are the same as the 2020 MCMG. CMS Washington, D.C. 20201 ) Lets say that your ideal client likes to listen to carol singers during the holidays, as a content creator, you could potentially create your very own festive song that describes your business and all the services you provide (health insuranc. CMS 0 Medicare Advantage Marketing: Understanding CMS Guideline 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.