hb```a``Zk @16, TX3 A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Overall, the holiday season seems to bring joy and family unity around the world. You can decide how often to receive updates. WebAll MA communication and marketing regulations and guidance issued by CMS, as well as other applicable laws, continue to apply to materials and activities of participating Heres how you know. Toll Free Call Center: 1-877-696-6775. lock Commissions will be paid on posted premiums applied to the agents or agencys clients eligible cases. 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. Secure .gov websites use HTTPSA Current guidance and model member materials issued by CMS through the Health Plan Management System (HPMS) appear below. 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. Federal government websites often end in .gov or .mil. lock Cigna just announced their 2023 ACA commission schedule! 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 The Centers for Medicare & Medicaid Services (CMS) received OMBs approval for the latest ANOC and EOC models through 12/31/21. In other words, if you are talking Medicare with someone get a scope. authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically Sponsors still are falling behind in their postmarket reporting, according to the FDAs yearly update on progress of postmarketing requirements/commitments. 200 Independence Avenue, S.W. The site is specific and codded to you the agent. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. lock Take a look for yourself below. PTC forms can now be used for more than one enrollment period. The site is secure. <> website belongs to an official government organization in the United States. This FAQ walks through both permitted and This works for health type products only however. 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. 4 0 obj Simply sign another scope documenting those products and continue the appointment. 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 They are even needed if the meeting did not result in a sale. ) Dental Insurance Commissions The dental commission structure pertains to business with effective dates of 1/1. % lock Official websites use .govA A federal government website managed by the CLICK HERE TO LEARN MORE ABOUT CONNECT4MEDICARE. Agents should also avoid using the word free when talking about $0 premium plans. We are in the process of retroactively making some documents accessible. + xp0W:t|}S>6I1/FG'AoN f!ZtYR~=9Vm Cs,PCF%Q"j#j$72c}^=lF Issued by: Centers for Medicare & Medicaid Services (CMS). Full commission (directly from the carriers) and no minimum production needed to start. ) In addition, they can compare drug plans in a manner similar to the Medicare drug plan finder site. WebGeneral marketing requirements. ( Issued by: Centers for Medicare & Medicaid Services (CMS). lock We provide agents with their own compliant website through Connect4Medicare. This chapter contains revisions in most of the sections within the manual chapter, however, there are some sections that have not been revised, but are included in this instruction as well. Sign up to get the latest information about your choice of CMS topics. OK Find a Provider By BluePeak Advisors May 26, 2021 On Friday May 28th, at 5pm ET, CMS will provide Plan Sponsors access to the new HPMS marketing module. Share sensitive information only on official, secure websites. The .gov means its official. Agents are now able to make unsolicited contact with a prospects for MA, MAPD and PDP via email. Communication materials do not require CMS approval. %PDF-1.6 % endstream endobj startxref In order to initiate conversations with prospects in person or by phone you will need to have permission to call/contact (PTC). An official website of the United States government. zCW`W- d%c@4F&4VXL`w dPO[ I)i61e$EI 2f=!z6"lqr WebChapter 3 Medicare Marketing Guidelines For Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, and 1876 Cost plans part 422, subpart V, continue to apply. Most people who write articles haveRead more, Your email address will not be published. Medicare Marketing Guidelines Marketing Models, Standard Documents, and Educational Material This section includes standardized outreach and educational material An official website of the United States government 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. HXUJjz9"UQM`v$,VT,]Xh"N`%J5.rEJj`= #Ba.2EJjUHql.D`.^b1:eV=}oK/{7*v>GcxlLtttoN|,ty0wt6M[d1a.HqE2_4Emc"dRx9xz0}/h@c/4d"OM x>4iKnfqp)utAzcl(sZvtx^ What if a client would like to talk about additional or different products? The SOA is used to document the type of products you will be discussing once you have a meeting. Medicaid managed care plans contract with the state Medicaid agency. 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. Plans may now contact %%EOF Ambetter Value plans are available in: Broward, Clay, Duval, Hillsborough, Lake, Miami-Dade, Orange, Osceola, Palm Beach, Pasco and Seminole counties. 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. SUBJECT: Medicare Communications and Marketing Guidelines . TI3*=0 endstream endobj startxref 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. Medicare Open Enrollment Period Click Here, For the rules of educational events click here, CLICK HERE TO LEARN ABOUT OUR FREE LEAD PROGRAM. Agility Agents have learned from us that incorporating trending themes into their online content strategy plan will help them achieve their marketing goals. Medical Insurance Commissions Medical commissions apply to all metal levels and plans sold on or off Marketplace. U.S. Department of Health & Human Services Official websites use .govA 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 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. Washington, D.C. 20201 Sales made during an Open Enrollment or a Special Enrollment Period are eligible. i !q Pf`qH X$AQ e&ExLL^LLA+nLuI-t)P&|neJrX!q@?,@mA H\n@yL. 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 (SOA) The PTC is used to start contact with a prospect. HHS is committed to making its websites and documents accessible to the widest possible audience, ( 0 sH2jy + a&@GJh& +%V,fpt!9'cfO+Ip|L2\1 1 /0U4,P9L&009 =\.gi'Jo-=5I9)zwf?PGsr oom0\jd Z.F kD db3u2 If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov. EJ+QTEEJ+QtE mU|9"TavkY pUqF`%l]7 >m! Sales events, on the other hand, are designed to steer, or attempt to steer potential enrollees towards a limited set of plans. Washington, D.C. 20201 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). Medicare Marketing Guidelines For Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, Employer/Union-Sponsored Group Health Plans, Medicare-Medicaid Plans, and Section 1876 Cost Plans. 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. On October 8, 2021, CMS released guidance regarding third-party marketing to Medicare Advantage organizations. 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 Heres how you know. 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). endstream endobj 563 0 obj <>stream 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. For example, the same PTC can be used during AEP and OEP. 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. To date, CMS has not released an update or memo for 2021. An official website of the United States government. The seminars will be not only in Westchester and Putnam but also Dutchess counties. <> Any website CMS considered marketing must be submitted for review and approval through the Health Plan Management System (HPMS). 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* 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). The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. We have tried to list the more common questions and aspects of the guidelines below. LEARN WHAT WE HAVE TO OFFER HERE. You also need a scope for phone meetings and virtual meetings. An official website of the United States government 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 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. Starting January 1, 2023, Ambetter Value plan members can access providers in the below list for all medical needs. 219 0 obj <>stream Cigna just announced their 2023 ACA commission schedule! (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. Click Here, We do not offer every plan available in your area. 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). 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. 1 0 obj t18:14Xw8zxs The Department may not cite, use, or rely on any guidance that is not posted DISCLAIMER: The contents of this database lack the force and effect of law, except as means youve safely connected to the .gov website. If they would like to review non health related products such as life insurance, LTC, annuity, etc. website belongs to an official government organization in the United States. CMS requires all marketing websites to be submitted for review. stream website belongs to an official government organization in the United States. 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. ( Advancing is not available. 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). For Medicare Advantage Plans. View the model marketing materials in the Downloads section below. %PDF-1.7 Prospects can use the site to compare plans, check doctors, run drug comparisons and enroll in plans. x]nI}7\E23w=DHgs3"(JY'%PNFfV{g>7vu}6ULTugO'w~O]}'??.9{O~U5{`nv.!UMZ1C(=kUUh1/_f^J|giqT_^.'Z_. on the guidance repository, except to establish historical facts. WebThe Medicare Communications and Marketing Guidelines (MCMG) is a set of rules that insurance companies selling plans must follow. 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