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. Prospects and clients can compare plans (Advantage, supplement and part D), check on benefits, check doctors and Medications. In addition, we are also providing clarification to the existing guidance. 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. incorporated into a contract. Official websites use .govA 200 Independence Avenue, S.W. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. On October 8, 2021, CMS released guidance regarding third-party marketing to Medicare Advantage organizations. 0 We provide agents with their own compliant website through Connect4Medicare. 159 0 obj <> endobj A federal government website managed by the All Rights Reserved. + xp0W:t|}S>6I1/FG'AoN f!ZtYR~=9Vm Cs,PCF%Q"j#j$72c}^=lF 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. WebGeneral marketing requirements. For example, the same PTC can be used during AEP and OEP. 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 starters, you must wait until October 1 to market, talk about or review the new plans for the coming year for AEP. Crowe and Associates offers a free Medicare lead program. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Sponsors still are falling behind in their postmarket reporting, according to the FDAs yearly update on progress of postmarketing requirements/commitments. Meetings and presentation fall under one of three categories. Guidance for this document can be located at https://www.cms.gov/Medicare/Health-Plans/Managed Care Marketing/Final Part C Marketing Guidelines. Sign up to get the latest information about your choice of CMS topics. DISCLAIMER: The contents of this database lack the force and effect of law, except as endstream endobj startxref Access to all major carriers with the ability to compare plan benefits and prescription drug costs. Medical commissions will be paid for up to four children on the plan. or TI3*=0 %PDF-1.7 % 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. Before sharing sensitive information, make sure youre on a federal government site. You also must discuss the current star rating of plans and let the prospect know that it is out of 5 stars. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Your email address will not be published. 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 We can expect to see Christmas decorations just about everywhere. Issued by: Centers for Medicare & Medicaid Services (CMS). 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 website belongs to an official government organization in the United States. Heres how you know. 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. or A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. on the guidance repository, except to establish historical facts. 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 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. U.S. Department of Health & Human Services By: Michelle M. Saavedra The most wonderful time of the year is here! WebChapter 3 Medicare Marketing Guidelines For Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, and 1876 Cost plans You also need a scope for phone meetings and virtual meetings. hb```b``c`e` B@1V @C Please be advised eligible producers will be paid commission for existing medical policies scheduled to renew 1/1/2023 under this 2023 commission schedule. Agility Insurance Services, LLC. 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. X;/?~I(A@%EOMG1Rc9 5:E[0n8 Current guidance and model member materials issued by CMS through the Health Plan Management System (HPMS) appear below. i !q Pf`qH X$AQ e&ExLL^LLA+nLuI-t)P&|neJrX!q@?,@mA 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 Issued by: Centers for Medicare & Medicaid Services (CMS). The Medicare Marketing Guidelines 2021 are the same as the 2020 MCMG. lock WebMedicare Marketing Guidelines . They are even needed if the meeting did not result in a sale. zCW`W- d%c@4F&4VXL`w dPO[ I)i61e$EI 2f=!z6"lqr In addition, an email should not be intended to steer someone into a specific plan. WebCMS COVID-19 Reporting Requirements for Nursing Homes June 2021 [PDF 300 KB] CMS Press Release: CMS Announces Relief for Clinicians, Providers, Hospitals and Facilities Participating in Quality Reporting Programs in Response to COVID-19 [PDF 400 KB] CDC and CMS Issue Joint Reminder on NHSN Reporting stream In addition, they can compare drug plans in a manner similar to the Medicare drug plan finder site. In order to initiate conversations with prospects in person or by phone you will need to have permission to call/contact (PTC). If they would like to review non health related products such as life insurance, LTC, annuity, etc. This revision replaces Chapter 3, Medicare Marketing Guidelines for Medicare Advantage, Medicare Prescription Drug Plans, Prescription Drug Plans and 1876 Cost plans with a new revised Chapter 3. The Department may not cite, use, or rely on any guidance that is not posted %PDF-1.7 ) @ If you need assistance accessing an accessible version of this document, please reach out to the [email protected]. lock Even for events held by phone only. Marketing Guidelines MCS Improving or Maintaining Mental Health MedPAC Medicare Payment Advisory contract year 2021 and 2022. Sales made during an Open Enrollment or a Special Enrollment Period are eligible. 1 Director, Medicare Drug Benefit and C & D Data Group. endstream endobj 563 0 obj <>stream 200 Independence Avenue, S.W. The guidelines allow organizations offering both Medicare Advantage and Prescription Drug Plans the ability to reference one document when developing marketing materials. View the Agent/Broker Training & Testing Guidelines in the Downloads section below. Sign up to get the latest information about your choice of CMS topics. Share sensitive information only on official, secure websites. Cigna just announced their 2023 ACA commission schedule! hbbd``b`>$ &$ .+ bX1 $"pH, $")s@Lz@`!3u>0 '` 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. Federal government websites often end in .gov or .mil. website belongs to an official government organization in the United States. Heres how you know. H\n@yL. 0 They cannot include plan specific information and cannot be intended to steer someone towards a specific plan. For information on the Medicare Open Enrollment Period Click Here. Share sensitive information only on official, secure websites. Reviews are done through the carriers in most cases. View the model marketing materials in the Downloads section below. ZbO KM~ means youve safely connected to the .gov website. ( A federal government website managed by the The Department may not cite, use, or rely on any guidance that is not posted 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. means youve safely connected to the .gov website. Free should also not be included in any description of part B premium, part B reduction plans or dual eligible status. Medicaid managed care plans contract with the state Medicaid agency. lock The difference between the two is the material used and intent of the material. 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. 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). 698 0 obj <>stream The guidelines allow organizations offering both Medicare Advantage and Prescription Drug Plans the ability to reference one document when developing marketing materials. lock Agility Agents have learned from us that incorporating trending themes into their online content strategy plan will help them achieve their marketing goals. 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. This works for health type products only however. For Medicare Advantage Plans. Cigna just announced their 2023 ACA commission schedule! Sign up to get the latest information about your choice of CMS topics. including individuals with disabilities. "N E{8Q*~gc{;Cu6c8CVjm/i~e?]3t1. 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 website belongs to an official government organization in the United States. 559 0 obj <> endobj 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. } (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 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). <> Medicare Advantage plans are offered by private insurance companies. Federal government websites often end in .gov or .mil. Simply sign another scope documenting those products and continue the appointment. Provider Medicare Training & Marketing Guides | Health Net Skip to Main Content Healthnet.com uses cookies. sH2jy + a&@GJh& +%V,fpt!9'cfO+Ip|L2\1 Agents are now able to make unsolicited contact with a prospects for MA, MAPD and PDP via email. Washington, D.C. 20201 Compliance is an important aspect of offering Medicare plans. 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. Communication materials do not require CMS approval. They are educational events, sales events and individual appointments. Link to recorded webinar https://attendee.gotowebinar.com/recording/2899290519088332033, All agents receive a personalized enrollment website.  5 Medicare Marketing Guidelines 2021: Types of events and appointments Meetings and presentation fall under one of three categories. Lastly, prospects can enroll through the site into any of the plans you are certified to offer. PTC forms can now be used for more than one enrollment period. Chapter 3. Medicare Marketing Guidelines. ) 219 0 obj <>stream Medicare Open Enrollment Period Click Here, For the rules of educational events click here, CLICK HERE TO LEARN ABOUT OUR FREE LEAD PROGRAM. Stay up to date with Medicare Marketing Guidelines by attending our Medicare Training Series live events! 1, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, Employer/Union-Sponsored Group You can decide how often to receive updates. But before creating any type of content, insurance agents must be able to identify the key traits that characterize their ideal audience. 422.2264: Beneficiary contact. 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 Overall, the holiday season seems to bring joy and family unity around the world. Secure .gov websites use HTTPSA _n("<>E$mmZ4i57c]8~89jMJ0SL8,4B`i(e During a sales event: Sales events are an attempt to steer someone into a specific plan. <> Dental Insurance Commissions The dental commission structure pertains to business with effective dates of 1/1. pgA +tKe.hT+mqOi^Ef(V: 09\O^]S`Uj0? The Centers for Medicare & Medicaid Services (CMS) received OMBs approval for the latest ANOC and EOC models through 12/31/21. Toll Free Call Center: 1-877-696-6775. You are able to start taking/submitting applications on October 15th. 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). 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. This section includes standardized outreach and educational material for Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, and 1876 Cost Plans. lock [M7XRM v:rY DXF4UbT+"J%p$ A Scope of Appointment form is used to document the types of plans you will be discussing with the client or prospect. or DISCLAIMER: The contents of this database lack the force and effect of law, except as You can decide how often to receive updates. .gov https:// Secure .gov websites use HTTPSA lock 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. hb```a``Zk @16, TX3 Agents should also avoid using the word free when talking about $0 premium plans. WHY WORK WITH US? Qu4 8q ]8!FaO6{dB>8ws#%=MK%E,E*e*!*O|?Q4RRRRSiRiS]O8kgn^0N.iP~3nOF"FD"yza4={ o?l)$Fq\xH*QDEl IU%QJ(D* Sales events, on the other hand, are designed to steer, or attempt to steer potential enrollees towards a limited set of plans. Sign up to get the latest information about your choice of CMS topics. We have tried to list the more common questions and aspects of the guidelines below. Ambetter Value plans are available in: Broward, Clay, Duval, Hillsborough, Lake, Miami-Dade, Orange, Osceola, Palm Beach, Pasco and Seminole counties. CLICK HERE TO LEARN MORE ABOUT CONNECT4MEDICARE. 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. An official website of the United States government OK Find a Provider The key focus of being of patients over the CMS requirements on the healthcare industry. Plans may now contact t18:14Xw8zxs means youve safely connected to the .gov website. 2023 medical commissions for applications one to four will be paid $0 PMPM until the agent or agency reaches five medical applications. 36>=#n!9OB2J{k+ye|8exK2rTx6>#8g-o,.@L [ZGkhyGGGCZ[^;85M L`P83p2@A >(d'X(^`ocTcdPs`/;5Auscv|]B8Uj7g6````>nH "y g` c? part 422, subpart V, continue to apply. 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 new marketing material module has enhanced functionality and will provide tools to Plans to facilitate tracking its marketing materials. and which has been designated by CMS as meeting the requirements of an MA SNP as 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. Secure .gov websites use HTTPSA Click Here, We do not offer every plan available in your area. ( An official website of the United States government HHS is committed to making its websites and documents accessible to the widest possible audience, .gov WebThe Medicare Advantage (MA) and Part D Marketing and Communications (MCMG) provides the marketing and communications requirements for Medicare Advantage (MA) plans, They are educational events, endobj Take a look for yourself below. Stay away from using any absolute statements on materials or during presentations. 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. LEARN WHAT WE HAVE TO OFFER HERE.