Heres how you know. 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 Cigna just announced their 2023 ACA commission schedule! An official website of the United States government. including individuals with disabilities. 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. Federal government websites often end in .gov or .mil. means youve safely connected to the .gov website. In addition, we are also providing clarification to the existing guidance. 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. 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^ 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. Provider Medicare Training & Marketing Guides | Health Net Skip to Main Content Healthnet.com uses cookies. Director, Medicare Drug Benefit and C & D Data Group. An official website of the United States government The Department may not cite, use, or rely on any guidance that is not posted ) Issued by: Centers for Medicare & Medicaid Services (CMS). U.S. Department of Health & Human Services Official websites use .govA X;/?~I(A@%EOMG1Rc9 5:E[0n8 https:// XM! 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). 0 endobj (SOA) The PTC is used to start contact with a prospect. But before creating any type of content, insurance agents must be able to identify the key traits that characterize their ideal audience. <>  5 t18:14Xw8zxs .gov 2 0 obj Agents should also avoid using the word free when talking about $0 premium plans. Guidance for this document can be located at https://www.cms.gov/Medicare/Health-Plans/Managed Care Marketing/Final Part C Marketing Guidelines. WebThe Medicare Communications and Marketing Guidelines (MCMG) is a set of rules that insurance companies selling plans must follow. 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. An official website of the United States government PTC forms can now be used for more than one enrollment period. https:// endobj Most people who write articles haveRead more, Your email address will not be published. 200 Independence Avenue, S.W. Secure .gov websites use HTTPSA Only light snacks and refreshments. If you are showing plan specific details such as benefits or premiums you are engaging in a sales event. The Marketing guidelines reflect CMS' interpretation of the marketing requirements and related provisions of the Medicare Advantage and Medicare Prescription We have tried to list the more common questions and aspects of the guidelines below. endstream endobj 160 0 obj <>>> endobj 161 0 obj <. lock @ Before sharing sensitive information, make sure youre on a federal government site. means youve safely connected to the .gov website. LEARN WHAT WE HAVE TO OFFER HERE. Heres how you know. 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. 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 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). Simply sign another scope documenting those products and continue the appointment. WebThe Medicare Advantage (MA) and Part D Marketing and Communications (MCMG) provides the marketing and communications requirements for Medicare Advantage (MA) plans, Chapter 3. Medicare Marketing Guidelines. You need a scope for any type of sales event. Sign up to get the latest information about your choice of CMS topics. 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. 3 0 obj You can decide how often to receive updates. /0U4,P9L&009 =\.gi'Jo-=5I9)zwf?PGsr oom0\jd Z.F kD db3u2 0 This plan has been rated 3.5 out of 5 stars. WebMedicare Marketing Guidelines . Communication pieces are more general and provide non specific information. On October 8, 2021, CMS released guidance regarding third-party marketing to Medicare Advantage organizations. endstream endobj startxref Free should also not be included in any description of part B premium, part B reduction plans or dual eligible status. CMS replaced the models that were previously posted on this website to reflect the OMB approval number and expiration date. Ambetter plans to expand access to their value network in Florida. Compliance is an important aspect of offering Medicare plans. You also must discuss the current star rating of plans and let the prospect know that it is out of 5 stars. In addition, they can compare drug plans in a manner similar to the Medicare drug plan finder site. ( The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. It should focus more on promoting your services and general information about Medicare. All Rights Reserved. Any information we provide is limited to those plans we do offer in your area. ZbO KM~ 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 For starters, you must wait until October 1 to market, talk about or review the new plans for the coming year for AEP. lock Your email address will not be published. WebChapter 3 Medicare Marketing Guidelines For Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, and 1876 Cost plans Providing general information about the Medicare program would be considered an educational event. hbbd```b``"@$c*dHR0,f@0y,"IK 6w % $fk00120 FIGG You are able to start taking/submitting applications on October 15th. Commissions will be paid on posted premiums applied to the agents or agencys clients eligible cases. Ambetter Value plans are available in: Broward, Clay, Duval, Hillsborough, Lake, Miami-Dade, Orange, Osceola, Palm Beach, Pasco and Seminole counties. Download the Guidance Document Final https:// Access to all major carriers with the ability to compare plan benefits and prescription drug costs. Please be advised eligible producers will be paid commission for existing medical policies scheduled to renew 1/1/2023 under this 2023 commission schedule. SOAs are needed for every face to face meeting. lock General information is followed by state-specific information, which is alphabetized by state name. This section includes standardized outreach and educational material for Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, and 1876 Cost Plans. or Share sensitive information only on official, secure websites. 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. View the model marketing materials in the Downloads section below. <>/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>> authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically For information on the Medicare Open Enrollment Period Click Here. 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 Following TPMO Guidelines CMS now considers agents and brokers to be third-party marketing organizations (TPMOs). 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. hbbd``b`>$ &$ .+ bX1 $"pH, $")s@Lz@`!3u>0 '` 1, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, Employer/Union-Sponsored Group 36>=#n!9OB2J{k+ye|8exK2rTx6>#8g-o,.@L [ZGkhyGGGCZ[^;85M L`P83p2@A >(d'X(^`ocTcdPs`/;5Auscv|]B8Uj7g6````>nH "y g` c? The Marketing guidelines reflect CMS' interpretation of the marketing requirements and related provisions of the Medicare Advantage and Medicare Prescription Drug Benefit rules (Chapter 42 of the Code of Federal Regulations, Parts 422 and 423). 4 0 obj on the guidance repository, except to establish historical facts. View the Agent/Broker Training & Testing Guidelines in the Downloads section below. i !q Pf`qH X$AQ e&ExLL^LLA+nLuI-t)P&|neJrX!q@?,@mA Crowe and Associates offers a free Medicare lead program. Before sharing sensitive information, make sure youre on a federal government site. 2023 medical commissions for applications one to four will be paid $0 PMPM until the agent or agency reaches five medical applications. Medicaid managed care plans contract with the state Medicaid agency. a new appointment will need to be made. Agility Insurance Services, LLC. Heres how you know. Same day scopes of compliant. and which has been designated by CMS as meeting the requirements of an MA SNP as 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. Better to have one every time to be safe. Take a look for yourself below. The Vice President of Communications oversees the organization's communications, editorial, media, design and advertising sales functions to produce a wide range of high-quality, accessible and compelling communication products and content for a diverse set of member and external audiences. Download the Guidance Document Final Issued by: Centers for Medicare & Medicaid Services (CMS) Issue Date: January 01, 2020 HHS is committed to making its 159 0 obj <> endobj Even for events held by phone only. Sponsors still are falling behind in their postmarket reporting, according to the FDAs yearly update on progress of postmarketing requirements/commitments. Sales events, on the other hand, are designed to steer, or attempt to steer potential enrollees towards a limited set of plans. The Centers for Medicare & Medicaid Services (CMS) received OMBs approval for the latest ANOC and EOC models through 12/31/21. means youve safely connected to the .gov website. In other words, if you are talking Medicare with someone get a scope. Required fields are marked *. 189 0 obj <>/Filter/FlateDecode/ID[<731268243A464E09A5CB70A201055789>]/Index[159 61]/Info 158 0 R/Length 118/Prev 733811/Root 160 0 R/Size 220/Type/XRef/W[1 2 1]>>stream %%EOF incorporated into a contract. _n("<>E$mmZ4i57c]8~89jMJ0SL8,4B`i(e %PDF-1.6 % To sign up for updates or to access your subscriber preferences, please enter your contact information below. A federal government website managed by the The Medicare Marketing Guidelines 2021 are the same as the 2020 MCMG. ) 'j0"0",NG)1p8i{^h38R ur@msO;F$A$gOyOOr[{YxqyIJ. An official website of the United States government. on the guidance repository, except to establish historical facts. Plans may now contact WHY WORK WITH US? To sign up for updates or to access your subscriber preferences, please enter your contact information below. Agents are credited for all enrollments. EJ+QTEEJ+QtE mU|9"TavkY pUqF`%l]7 >m! <>/Metadata 3591 0 R/ViewerPreferences 3592 0 R>> An official website of the United States government 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). Cigna just announced their 2023 ACA commission schedule! 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. 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. Please contact, on American Progressive Medicare Contracting. Secure .gov websites use HTTPSA 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.