WebThe Medicare Advantage (MA) and Part D Marketing and Communications (MCMG) provides the marketing and communications requirements for Medicare Advantage (MA) plans, stream Prospects and clients can compare plans (Advantage, supplement and part D), check on benefits, check doctors and Medications. zCW`W- d%c@4F&4VXL`w dPO[ I)i61e$EI 2f=!z6"lqr 422.2264: Beneficiary contact. An official website of the United States government % Share sensitive information only on official, secure websites. If the materials are not generic in nature they will be considered marketing and require CMS review. Please contact, on American Progressive Medicare Contracting. https:// .gov <> Communication materials do not require CMS approval. Your email address will not be published. Sponsors still are falling behind in their postmarket reporting, according to the FDAs yearly update on progress of postmarketing requirements/commitments. An official website of the United States government. Agility Insurance Services, LLC. Agents are now able to make unsolicited contact with a prospects for MA, MAPD and PDP via email. The agent will be the broker of record on any enrollment. Only light snacks and refreshments. Agility Agents have learned from us that incorporating trending themes into their online content strategy plan will help them achieve their marketing goals. 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 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. Reviews are done through the carriers in most cases. If you are showing plan specific details such as benefits or premiums you are engaging in a sales event. Link to recorded webinar https://attendee.gotowebinar.com/recording/2899290519088332033, All agents receive a personalized enrollment website. ) View the Part C EOB materials in the Downloads section below. An official website of the United States government Prospects can use the site to compare plans, check doctors, run drug comparisons and enroll in plans. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Official websites use .govA All Rights Reserved. DISCLAIMER: The contents of this database lack the force and effect of law, except as website belongs to an official government organization in the United States. ) A federal government website managed by the i !q Pf`qH X$AQ e&ExLL^LLA+nLuI-t)P&|neJrX!q@?,@mA Better to have one every time to be safe. 1 0 obj Agents are credited for all enrollments. Any information we provide is limited to those plans we do offer in your area. Qu4 8q ]8!FaO6{dB>8ws#%=MK%E,E*e*!*O|?Q4RRRRSiRiS]O8kgn^0N.iP~3nOF"FD"yza4={ o?l)$Fq\xH*QDEl IU%QJ(D* Compliance is an important aspect of offering Medicare plans. hbbd```b``"@$c*dHR0,f@0y,"IK 6w % $fk00120 FIGG By: Michelle M. Saavedra The most wonderful time of the year is here! Heres how you know. The new marketing material module has enhanced functionality and will provide tools to Plans to facilitate tracking its marketing materials. 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 This means that all marketing materials must be clear, and accurate, and not promote any plans inappropriately. 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 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. part 422, subpart V, continue to apply. 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. Take a look for yourself below. } Marketing Guidelines MCS Improving or Maintaining Mental Health MedPAC Medicare Payment Advisory contract year 2021 and 2022. Secure .gov websites use HTTPSA 422.2265: Websites. Official websites use .govA To sign up for updates or to access your subscriber preferences, please enter your contact information below. means youve safely connected to the .gov website. Share sensitive information only on official, secure websites. 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 site is specific and codded to you the agent. hbbd``b`>$ &$ .+ bX1 $"pH, $")s@Lz@`!3u>0 '` In 2021, Medicare beneficiaries will have, on average, 33 Medicare Advantage plans and another 30 stand-alone Part D prescription drug plans available in their market. You can decide how often to receive updates. While CMS guidelines no longer include requirements of 12pt font on marketing materials, due to the vision realities of people as they age, it is still recommended and the By BluePeak Advisors May 26, 2021 On Friday May 28th, at 5pm ET, CMS will provide Plan Sponsors access to the new HPMS marketing module. OK Find a Provider Federal government websites often end in .gov or .mil. 'j0"0",NG)1p8i{^h38R ur@msO;F$A$gOyOOr[{YxqyIJ. or Under the new CMS guidelines, agents selling Medicare Advantage plans can no longer use promotional materials that could mislead, confuse, or exaggerate the benefits of their plans. (SOA) The PTC is used to start contact with a prospect. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. You also must discuss the current star rating of plans and let the prospect know that it is out of 5 stars. HXUJjz9"UQM`v$,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^ lock /0U4,P9L&009 =\.gi'Jo-=5I9)zwf?PGsr oom0\jd Z.F kD db3u2 In addition, they can compare drug plans in a manner similar to the Medicare drug plan finder site. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 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 View the model marketing materials in the Downloads section below. Take a look for yourself below. 559 0 obj <> endobj Cigna just announced their 2023 ACA commission schedule! endstream endobj 563 0 obj <>stream incorporated into a contract. 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. 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 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. They cannot include plan specific information and cannot be intended to steer someone towards a specific plan. sH2jy + a&@GJh& +%V,fpt!9'cfO+Ip|L2\1 Download the Guidance Document Final Issued by: Centers for Medicare & Medicaid Services (CMS) Issue Date: January 01, 2020 HHS is committed to making its or <>/Metadata 3591 0 R/ViewerPreferences 3592 0 R>> CMS also has rules for when you are allowed to market products and the way you can do it. Meetings and presentation fall under one of three categories. On January 19, 2021, CMS issued a final rule entitled Medicare and Medicaid Programs; Contract Year 2022 Policy and Technical Changes to the Medicare This works for health type products only however. U.S. Department of Health & Human Services endstream endobj startxref Agents are still not able to make unsolicited contact to prospects for MA, MAPD or PDP by phone or in person in common areas. You are able to start taking/submitting applications on October 15th. Medical Insurance Commissions Medical commissions apply to all metal levels and plans sold on or off Marketplace. Heres how you know. lock January 1 through March 31 is considered the OEP. WebGeneral marketing requirements. 219 0 obj <>stream 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. Guidance for this document can be located at https://www.cms.gov/Medicare/Health-Plans/Managed Care Marketing/Final Part C Marketing Guidelines. %%EOF lock lock They are educational events, sales events and individual appointments. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. https:// Toll Free Call Center: 1-877-696-6775. 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. Simply sign another scope documenting those products and continue the appointment. General information is followed by state-specific information, which is alphabetized by state name. By continuing to use our site, you agree to our Privacy Policyand Terms of Use. The .gov means its official. Ambetter plans to expand access to their value network in Florida. 2023 medical commissions for applications one to four will be paid $0 PMPM until the agent or agency reaches five medical applications. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 13 0 R 16 0 R 17 0 R 21 0 R 22 0 R 28 0 R 30 0 R 33 0 R 34 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 44 0 R 45 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 52 0 R 53 0 R 55 0 R 56 0 R 57 0 R 58 0 R 59 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The .gov means its official. We provide agents with their own compliant website through Connect4Medicare. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. a new appointment will need to be made. endobj 159 0 obj <> endobj To sign up for updates or to access your subscriber preferences, please enter your contact information below. HHS is committed to making its websites and documents accessible to the widest possible audience, ( Lastly, prospects can enroll through the site into any of the plans you are certified to offer. "N E{8Q*~gc{;Cu6c8CVjm/i~e?]3t1. Heres how you know. LEARN WHAT WE HAVE TO OFFER HERE. Provider Medicare Training & Marketing Guides | Health Net Skip to Main Content Healthnet.com uses cookies. X;/?~I(A@%EOMG1Rc9 5:E[0n8 website belongs to an official government organization in the United States. t18:14Xw8zxs You also need a scope for phone meetings and virtual meetings. 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. You can decide how often to receive updates. 36>=#n!9OB2J{k+ye|8exK2rTx6>#8g-o,.@L [ZGkhyGGGCZ[^;85M L`P83p2@A >(d'X(^`ocTcdPs`/;5Auscv|]B8Uj7g6````>nH "y g` c? Even for events held by phone only. + xp0W:t|}S>6I1/FG'AoN f!ZtYR~=9Vm Cs,PCF%Q"j#j$72c}^=lF Required fields are marked *. DISCLAIMER: The contents of this database lack the force and effect of law, except as A Scope of Appointment form is used to document the types of plans you will be discussing with the client or prospect. 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). Secure .gov websites use HTTPSA 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. 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. Commissions will be paid on posted premiums applied to the agents or agencys clients eligible cases. 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. Full commission (directly from the carriers) and no minimum production needed to start. The SOA is used to document the type of products you will be discussing once you have a meeting. View the Agent/Broker Training & Testing Guidelines in the Downloads section below. CMS replaced the models that were previously posted on this website to reflect the OMB approval number and expiration date. 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. https:// 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 You can decide how often to receive updates. An official website of the United States government Before sharing sensitive information, make sure youre on a federal government site. authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. 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 %PDF-1.7 % CMS requires all marketing websites to be submitted for review. Cigna just announced their 2023 ACA commission schedule! means youve safely connected to the .gov website. The Marketing guidelines reflect CMS' interpretation of the marketing requirements and related provisions of the Medicare Advantage and Medicare Prescription @ 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. The Department may not cite, use, or rely on any guidance that is not posted or WHY WORK WITH US? An official website of the United States government. Sign up to get the latest information about your choice of CMS topics. It should focus more on promoting your services and general information about Medicare. Free should also not be included in any description of part B premium, part B reduction plans or dual eligible status. 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). Are you contracted with Ambetter yet? Issued by: Centers for Medicare & Medicaid Services (CMS). EJ+QTEEJ+QtE mU|9"TavkY pUqF`%l]7 >m! 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). For information on the Medicare Open Enrollment Period Click Here. 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. Washington, D.C. 20201 0 Starting January 1, 2023, Ambetter Value plan members can access providers in the below list for all medical needs. Sales events, on the other hand, are designed to steer, or attempt to steer potential enrollees towards a limited set of plans. including individuals with disabilities. _n("<>E$mmZ4i57c]8~89jMJ0SL8,4B`i(e ) 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. hmo6 Federal government websites often end in .gov or .mil. For example, the same PTC can be used during AEP and OEP.

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