means youve safely connected to the .gov website. CMS replaced the models that were previously posted on this website to reflect the OMB approval number and expiration date. https:// 422.2265: Websites. 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 Ambetter plans to expand access to their value network in Florida. 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 Download the Guidance Document Final Official websites use .govA website belongs to an official government organization in the United States. This plan has been rated 3.5 out of 5 stars. Hosting a Compliant Medicare Educational 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 .gov (SOA) The PTC is used to start contact with a prospect. The new marketing material module has enhanced functionality and will provide tools to Plans to facilitate tracking its marketing materials. %PDF-1.7 % incorporated into a contract. Only light snacks and refreshments. WebMedicare Marketing Guidelines . This FAQ walks through both permitted and hb```b``c`e` B@1V @C Even for events held by phone only. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. CMS considers communications and marketing to be two different things. 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. endobj Reviews are done through the carriers in most cases. X;/?~I(A@%EOMG1Rc9 5:E[0n8 You can decide how often to receive updates. DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Ambetter Value plans are available in: Broward, Clay, Duval, Hillsborough, Lake, Miami-Dade, Orange, Osceola, Palm Beach, Pasco and Seminole counties. Following TPMO Guidelines CMS now considers agents and brokers to be third-party marketing organizations (TPMOs). ( PTC forms can now be used for more than one enrollment period. hbbd``b`>$ &$ .+ bX1 $"pH, $")s@Lz@`!3u>0 '` You are able to start taking/submitting applications on October 15th. 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. Toll Free Call Center: 1-877-696-6775. endstream endobj startxref The federal regulation at 42 CFR 438.104 defines marketing as any communication, from an [Medicaid managed care plan] to a Medicaid beneficiary who is not enrolled in that entity, that can reasonably be interpreted as intended to influence the beneficiary to Current guidance and model member materials issued by CMS through the Health Plan Management System (HPMS) appear below. You also need a scope for phone meetings and virtual meetings. eCFR :: 42 CFR Part 422 Subpart V -- Medicare Advantage (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. Chapter 3. Medicare Marketing Guidelines. incorporated into a contract. By continuing to use our site, you agree to our Privacy Policyand Terms of Use. <> Medicare TI3*=0 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. lock WebChapter 3 Medicare Marketing Guidelines For Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, and 1876 Cost plans At that time, any new medical sales commissions due will be paid, starting from the first 2023 application. 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. 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). 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. The site is specific and codded to you the agent. Agents are now able to make unsolicited contact with a prospects for MA, MAPD and PDP via email. Medicare Marketing Guidelines - Centers for Medicare 3 0 obj An official website of the United States government. 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. Providing general information about the Medicare program would be considered an educational event. Dental Insurance Commissions The dental commission structure pertains to business with effective dates of 1/1. Agents should also avoid using the word free when talking about $0 premium plans. The most recent memo from CMS is available below through the link. Secure .gov websites use HTTPSA %PDF-1.6 % endobj Communication materials do not require CMS approval. The Medicare Marketing Guidelines 2021 are the same as the 2020 MCMG. The key focus of being of patients over the CMS requirements on the healthcare industry. } means youve safely connected to the .gov website. We provide agents with their own compliant website through Connect4Medicare. Official websites use .govA 0 Make sure to do the scope form prior to starting the meeting however. And dont get me started on the unofficial holiday song that was released back in 1994 (yes, we are talking about Mariah Careys single: All I want for Christmas is you). Share sensitive information only on official, secure websites. Medical Insurance Commissions Medical commissions apply to all metal levels and plans sold on or off Marketplace. lock Agents are credited for all enrollments. The consumer must also know if the plan is considered an low performing plan. For starters, you must wait until October 1 to market, talk about or review the new plans for the coming year for AEP. For information on the Medicare Open Enrollment Period Click Here. Lastly, prospects can enroll through the site into any of the plans you are certified to offer. Medicare Marketing Guidelines 2021 - Crowe & Associates https:// %%EOF Simply sign another scope documenting those products and continue the appointment. HXUJjz9"UQM`v$,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^ Please contact, on American Progressive Medicare Contracting. Medicare 36>=#n!9OB2J{k+ye|8exK2rTx6>#8g-o,.@L [ZGkhyGGGCZ[^;85M L`P83p2@A >(d'X(^`ocTcdPs`/;5Auscv|]B8Uj7g6````>nH "y g` c? U.S. Department of Health & Human Services However, the does need to have an opt out option in option to be compliant. CLICK HERE TO ACCESS MEDICARE MARKETING CMS MCMG MEMO. U.S. Department of Health & Human Services ( % 1, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, Employer/Union-Sponsored Group The Department may not cite, use, or rely on any guidance that is not posted Vice President of Communications in Alexandria, VA for Military CMS Toll Free Call Center: 1-877-696-6775. Full commission (directly from the carriers) and no minimum production needed to start. Heres how you know. lock Communication pieces are more general and provide non specific information. Secure .gov websites use HTTPSA Same day scopes of compliant. Medicare means youve safely connected to the .gov website. A Scope of Appointment form is used to document the types of plans you will be discussing with the client or prospect. hmo6 Plans may now contact You can decide how often to receive updates. AGENT MARKETING GUIDE - Agent Pipeline The SOA is used to document the type of products you will be discussing once you have a meeting. lock 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. Sign up to get the latest information about your choice of CMS topics. Free should also not be included in any description of part B premium, part B reduction plans or dual eligible status. 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). In addition, they can compare drug plans in a manner similar to the Medicare drug plan finder site. or You also must discuss the current star rating of plans and let the prospect know that it is out of 5 stars. .gov %%EOF Heres how you know. /0U4,P9L&009 =\.gi'Jo-=5I9)zwf?PGsr oom0\jd Z.F kD db3u2 An official website of the United States government Medicare Marketing Guidelines | CMS Take a look for yourself below. Washington, D.C. 20201 The guidelines allow organizations offering both Medicare Advantage and Prescription Drug Plans the ability to reference one document when developing marketing materials. Medicare Educational Event Rules Provider Medicare Training & Marketing Guides | Health Net Skip to Main Content Healthnet.com uses cookies. CLICK HERE TO LEARN MORE ABOUT CONNECT4MEDICARE. You can decide how often to receive updates. Download the Guidance Document Final Issued by: Centers for Medicare & Medicaid Services (CMS) Issue Date: January 01, 2020 HHS is committed to making its It should focus more on promoting your services and general information about Medicare. 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.  5 A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Qu4 8q ]8!FaO6{dB>8ws#%=MK%E,E*e*!*O|?Q4RRRRSiRiS]O8kgn^0N.iP~3nOF"FD"yza4={ o?l)$Fq\xH*QDEl IU%QJ(D* To sign up for updates or to access your subscriber preferences, please enter your contact information below. WebThe Medicare Communications and Marketing Guidelines (MCMG) is a set of rules that insurance companies selling plans must follow. 9002 Federal Register /Vol. 85, No. 32/Tuesday, February 18, Stay away from using any absolute statements on materials or during presentations. _n("<>E$mmZ4i57c]8~89jMJ0SL8,4B`i(e endstream endobj 563 0 obj <>stream 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). lock Washington, D.C. 20201 CMS requires all marketing websites to be submitted for review. .gov 4 0 obj 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. Any information we provide is limited to those plans we do offer in your area. All Rights Reserved. They are educational events, 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 Link to recorded webinar https://attendee.gotowebinar.com/recording/2899290519088332033, All agents receive a personalized enrollment website. 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 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. Because these plansRead more, Free Medicare Lead Program (Turning 65/Med Supplement Leads) NOTE: We have updated our lead program. Sales events, on the other hand, are designed to steer, or attempt to steer potential enrollees towards a limited set of plans. The Marketing guidelines reflect CMS' interpretation of the marketing requirements and related provisions of the Medicare Advantage and Medicare Prescription ZbO KM~ There is no longer a rule that the SOA needs to be submitted 48 hours prior to the sales appointment. Sign up to get the latest information about your choice of CMS topics. 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 [M7XRM v:rY DXF4UbT+"J%p$ Share sensitive information only on official, secure websites. 0 Secure .gov websites use HTTPSA In addition, we are also providing clarification to the existing guidance. 2 0 obj Medicare Advantage plans are offered by private insurance companies. t18:14Xw8zxs Sign up to get the latest information about your choice of CMS topics. 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). In the fall of 2017, CMS launched the Patients over Paperwork initiative. Chapter 3 Medicare Marketing Guidelines - HHS.gov https:// Meetings and presentation fall under one of three categories. Compliance is an important aspect of offering Medicare plans. To sign up for updates or to access your subscriber preferences, please enter your contact information below. Managed Care Chapter 3 - Marketing Guidelines General information is followed by state-specific information, which is alphabetized by state name. a new appointment will need to be made. Any website CMS considered marketing must be submitted for review and approval through the Health Plan Management System (HPMS). View the model marketing materials in the Downloads section below. 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. hb```a``Zk @16, TX3 x]nI}7\E23w=DHgs3"(JY'%PNFfV{g>7vu}6ULTugO'w~O]}'??.9{O~U5{`nv.!UMZ1C(=kUUh1/_f^J|giqT_^.'Z_. Marketing Guidelines MCS Improving or Maintaining Mental Health MedPAC Medicare Payment Advisory contract year 2021 and 2022. "N E{8Q*~gc{;Cu6c8CVjm/i~e?]3t1. authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically Medicare Communications and Marketing Guidelines Cigna just announced their 2023 ACA commission schedule! OK Find a Provider sH2jy + a&@GJh& +%V,fpt!9'cfO+Ip|L2\1 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. Agility Agents have learned from us that incorporating trending themes into their online content strategy plan will help them achieve their marketing goals. But before creating any type of content, insurance agents must be able to identify the key traits that characterize their ideal audience. website belongs to an official government organization in the United States. Marketing Models, Standard Documents, and Educational Sponsors still are falling behind in their postmarket reporting, according to the FDAs yearly update on progress of postmarketing requirements/commitments. ) or %PDF-1.7 Access to all major carriers with the ability to compare plan benefits and prescription drug costs. SUBJECT: Medicare Communications and Marketing Guidelines . 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. 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. 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 means youve safely connected to the .gov website. The site is secure. For Medicare Advantage Plans. 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.