cms marketing guidelines 2021

Toll Free Call Center: 1-877-696-6775. ( You also need a scope for phone meetings and virtual meetings. Cigna just announced their 2023 ACA commission schedule! For example, the same PTC can be used during AEP and OEP. Ambetter plans to expand access to their value network in Florida. They are educational events, 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. <> 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. 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. <>/Metadata 3591 0 R/ViewerPreferences 3592 0 R>> 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to ) U.S. Department of Health & Human Services Most people who write articles haveRead more, Your email address will not be published. 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. ( The difference between the two is the material used and intent of the material. The site is secure. Only light snacks and refreshments. An official website of the United States government Communication pieces are more general and provide non specific information. 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. Even for events held by phone only. Compliance is an important aspect of offering Medicare plans. authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically It should focus more on promoting your services and general information about Medicare. 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 Qu4 8q ]8!FaO6{dB>8ws#%=MK%E,E*e*!*O|?Q4RRRRSiRiS]O8kgn^0N.iP~3nOF"FD"yza4={ o?l)$Fq\xH*QDEl IU%QJ(D* We can expect to see Christmas decorations just about everywhere. means youve safely connected to the .gov website. and which has been designated by CMS as meeting the requirements of an MA SNP as 4 0 obj endstream endobj startxref The seminars will be not only in Westchester and Putnam but also Dutchess counties. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. The consumer must also know if the plan is considered an low performing plan. 1 Click Here, We do not offer every plan available in your area. Medicare Open Enrollment Period Click Here, For the rules of educational events click here, CLICK HERE TO LEARN ABOUT OUR FREE LEAD PROGRAM. i !q Pf`qH X$AQ e&ExLL^LLA+nLuI-t)P&|neJrX!q@?,@mA a new appointment will need to be made. endobj The Medicare Marketing Guidelines 2021 are the same as the 2020 MCMG. 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. %PDF-1.7 % If you are showing plan specific details such as benefits or premiums you are engaging in a sales event. View the Agent/Broker Training & Testing Guidelines in the Downloads section below. Please be advised eligible producers will be paid commission for existing medical policies scheduled to renew 1/1/2023 under this 2023 commission schedule. 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). A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. website belongs to an official government organization in the United States. Sign up to get the latest information about your choice of CMS topics. The SOA is used to document the type of products you will be discussing once you have a meeting. https:// Agents are credited for all enrollments. Share sensitive information only on official, secure websites. To sign up for updates or to access your subscriber preferences, please enter your contact information below. incorporated into a contract. A federal government website managed by the 698 0 obj <>stream Sales events, on the other hand, are designed to steer, or attempt to steer potential enrollees towards a limited set of plans. LEARN WHAT WE HAVE TO OFFER HERE. https:// The most recent memo from CMS is available below through the link. 'j0"0",NG)1p8i{^h38R ur@msO;F$A$gOyOOr[{YxqyIJ. The guidelines allow organizations offering both Medicare Advantage and Prescription Drug Plans the ability to reference one document when developing marketing materials. lock on the guidance repository, except to establish historical facts. 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. Ambetter Value plans are available in: Broward, Clay, Duval, Hillsborough, Lake, Miami-Dade, Orange, Osceola, Palm Beach, Pasco and Seminole counties. Marketing Communications Guidelines while the proposed changes noted above are both welcome and necessary, CMS should reverse the significant changes to the guidelines that have weakened protections in recent years, and add new requirements; for example, as noted above, CMS should: Rescind rules weakening marketing v. educational An official website of the United States government. Current guidance and model member materials issued by CMS through the Health Plan Management System (HPMS) appear below. 0 Official websites use .govA SUBJECT: Medicare Communications and Marketing Guidelines . (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. Be careful not to confuse a PTC with a Scope of appointment form. Before sharing sensitive information, make sure youre on a federal government site. General information is followed by state-specific information, which is alphabetized by state name. Plans may now contact The Marketing guidelines reflect CMS' interpretation of the marketing requirements and related provisions of the Medicare Advantage and Medicare Prescription They cannot include plan specific information and cannot be intended to steer someone towards a specific plan. Link to recorded webinar https://attendee.gotowebinar.com/recording/2899290519088332033, All agents receive a personalized enrollment website. Take a look for yourself below. CLICK HERE TO ACCESS MEDICARE MARKETING CMS MCMG MEMO. <> WebGeneral marketing requirements. or means youve safely connected to the .gov website. Chapter 3. Medicare Marketing Guidelines. Because these plansRead more, Free Medicare Lead Program (Turning 65/Med Supplement Leads) NOTE: We have updated our lead program. Issued by: Centers for Medicare & Medicaid Services (CMS). Marketing Guidelines MCS Improving or Maintaining Mental Health MedPAC Medicare Payment Advisory contract year 2021 and 2022. Free should also not be included in any description of part B premium, part B reduction plans or dual eligible status. _n("<>E$mmZ4i57c]8~89jMJ0SL8,4B`i(e WebThe Centers for Medicare & Medicaid Services (CMS) reminds organizations of critical Medicare Part C and D readiness items prior to the 2020 Annual Election Period (AEP) and As part of CMS implementation of the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008, CMS has revised the Medicare Marketing Chapter to include the latest provisions in the current guidance. Heres how you know. PTC can be obtained through flyers, business reply cards, PTC forms online leads (Likes or shares on social media platforms are not valid) from vendors and other methods that prospects use to initiate contact. https:// or means youve safely connected to the .gov website. WebMedicare Marketing Guidelines . lock In fact, two of the plans will beRead more, Medicare Leads Available At No Cost Note: Our blog: Medicare Leads Available At No Cost program has been changed. Overall, the holiday season seems to bring joy and family unity around the world. We provide agents with their own compliant website through Connect4Medicare. By: Michelle M. Saavedra The most wonderful time of the year is here! hbbd``b`>$ &$ .+ bX1 $"pH, $")s@Lz@`!3u>0 '` The key focus of being of patients over the CMS requirements on the healthcare industry. We are in the process of retroactively making some documents accessible. hb```b``c`e` B@1V @C % Medicare Marketing Guidelines 2021: Types of events and appointments Meetings and presentation fall under one of three categories. An official website of the United States government %PDF-1.6 % On January 19, 2021, CMS issued a final rule entitled Medicare and Medicaid Programs; Contract Year 2022 Policy and Technical Changes to the Medicare 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 Lastly, prospects can enroll through the site into any of the plans you are certified to offer. To date, CMS has not released an update or memo for 2021. However, the does need to have an opt out option in option to be compliant. XM! 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 https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. lock But how is this fact going to help you sell more health insurance? Official websites use .govA This plan has been rated 3.5 out of 5 stars. 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 WebHealth Net Medicare providers can review training and marketing guidelines to ensure services and coverage determinations are accurate. 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. 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 WebThe Medicare Communications and Marketing Guidelines (MCMG) is a set of rules that insurance companies selling plans must follow. Agility Agents have learned from us that incorporating trending themes into their online content strategy plan will help them achieve their marketing goals. If they would like to review non health related products such as life insurance, LTC, annuity, etc. January 1 through March 31 is considered the OEP. https:// endobj 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 on the guidance repository, except to establish historical facts. 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). 2023 medical commissions for applications one to four will be paid $0 PMPM until the agent or agency reaches five medical applications. DISCLAIMER: The contents of this database lack the force and effect of law, except as Crowe and Associates offers a free Medicare lead program. 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 Agents are still not able to make unsolicited contact to prospects for MA, MAPD or PDP by phone or in person in common areas. 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). OK Find a Provider Sponsors still are falling behind in their postmarket reporting, according to the FDAs yearly update on progress of postmarketing requirements/commitments. EJ+QTEEJ+QtE mU|9"TavkY pUqF`%l]7 >m! On October 8, 2021, CMS released guidance regarding third-party marketing to Medicare Advantage organizations. You also must discuss the current star rating of plans and let the prospect know that it is out of 5 stars. You can decide how often to receive updates. 219 0 obj <>stream 3 0 obj For starters, you must wait until October 1 to market, talk about or review the new plans for the coming year for AEP. 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). Heres how you know. (SOA) The PTC is used to start contact with a prospect. 422.2265: Websites. 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). incorporated into a contract. For Medicare Advantage Plans. Stay up to date with Medicare Marketing Guidelines by attending our Medicare Training Series live events! 159 0 obj <> endobj A federal government website managed by the } In addition, we are also providing clarification to the existing guidance. Guidance for this document can be located at https://www.cms.gov/Medicare/Health-Plans/Managed Care Marketing/Final Part C Marketing Guidelines. Prospects and clients can compare plans (Advantage, supplement and part D), check on benefits, check doctors and Medications. 1 0 obj or .gov The new marketing material module has enhanced functionality and will provide tools to Plans to facilitate tracking its marketing materials. The Department may not cite, use, or rely on any guidance that is not posted Starting January 1, 2023, Ambetter Value plan members can access providers in the below list for all medical needs. %PDF-1.7 This section includes standardized outreach and educational material for Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, and 1876 Cost Plans. authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically 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. .gov Same day scopes of compliant. 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 Communication materials do not require CMS approval. Medicaid managed care plans contract with the state Medicaid agency. [M7XRM v:rY DXF4UbT+"J%p$ By continuing to use our site, you agree to our Privacy Policyand Terms of Use. 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. Washington, D.C. 20201 You are able to start taking/submitting applications on October 15th. Manages the alignment of MOAAs The site is secure. View the model marketing materials in the Downloads section below. We have tried to list the more common questions and aspects of the guidelines below. Access to all major carriers with the ability to compare plan benefits and prescription drug costs. Secure .gov websites use HTTPSA Before sharing sensitive information, make sure youre on a federal government site. Your email address will not be published. To sign up for updates or to access your subscriber preferences, please enter your contact information below. Download the Guidance Document Final endstream endobj startxref During a sales event: Sales events are an attempt to steer someone into a specific plan. 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.

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