CLICK HERE TO ACCESS MEDICARE MARKETING CMS MCMG MEMO. Sign up to get the latest information about your choice of CMS topics. 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 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 Official websites use .govA 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. Share sensitive information only on official, secure websites. Medicare Open Enrollment Period Click Here, For the rules of educational events click here, CLICK HERE TO LEARN ABOUT OUR FREE LEAD PROGRAM. % endstream endobj 160 0 obj <>>> endobj 161 0 obj <. + xp0W:t|}S>6I1/FG'AoN f!ZtYR~=9Vm Cs,PCF%Q"j#j$72c}^=lF https:// You can decide how often to receive updates. 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! It should focus more on promoting your services and general information about Medicare. But before creating any type of content, insurance agents must be able to identify the key traits that characterize their ideal audience. 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). .gov If you are showing plan specific details such as benefits or premiums you are engaging in a sales event. Any information we provide is limited to those plans we do offer in your area. Toll Free Call Center: 1-877-696-6775. WHY WORK WITH US? Cigna just announced their 2023 ACA commission schedule! 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. What if a client would like to talk about additional or different products? CMS To date, CMS has not released an update or memo for 2021. View the model marketing materials in the Downloads section below. This section includes standardized outreach and educational material for Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, and 1876 Cost Plans. .gov Communication materials do not require CMS approval. 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 Prospects and clients can compare plans (Advantage, supplement and part D), check on benefits, check doctors and Medications. Medicare Advantage Marketing: Understanding CMS Guideline Required fields are marked *. You also must discuss the current star rating of plans and let the prospect know that it is out of 5 stars. In order to initiate conversations with prospects in person or by phone you will need to have permission to call/contact (PTC). Medical Insurance Commissions Medical commissions apply to all metal levels and plans sold on or off Marketplace. https:// Ambetter plans to expand access to their value network in Florida. On October 8, 2021, CMS released guidance regarding third-party marketing to Medicare Advantage organizations. 159 0 obj <> endobj Medicare Educational Event Rules Guidance for this document can be located at https://www.cms.gov/Medicare/Health-Plans/Managed Care Marketing/Final Part C Marketing Guidelines. Advancing is not available. WebConsultor SEO Jose Rdenas (Alicante): dedicado al posicionamiento web orgnico, el SEM, el marketing online y la la digitalizacin de empresas desde 2005. stream Jose Rdenas SEO - Consultor SEO y SEM - Top School SL | LinkedIn Vice President of Communications in Alexandria, VA for Military CMS This works for health type products only however. Starting January 1, 2023, Ambetter Value plan members can access providers in the below list for all medical needs. 200 Independence Avenue, S.W. Medicare Advantage plans are offered by private insurance companies. Before sharing sensitive information, make sure youre on a federal government site. Only light snacks and refreshments. A Scope of Appointment form is used to document the types of plans you will be discussing with the client or prospect. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. g9fT'MzhrUJ"%$%*%\3j=)#|l_G___|~u,u*52 ]G'co%:lO>mVXIWc#$P1+/24 Heres how you know. 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. 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. They are educational events, sales events and individual appointments. Heres how you know. Manages the alignment of MOAAs Medical commissions will be paid for up to four children on the plan. x]nI}7\E23w=DHgs3"(JY'%PNFfV{g>7vu}6ULTugO'w~O]}'??.9{O~U5{`nv.!UMZ1C(=kUUh1/_f^J|giqT_^.'Z_. During a sales event: Sales events are an attempt to steer someone into a specific plan. DEPARTMENT OF HEALTH & HUMAN SERVICES XM! AGENT MARKETING GUIDE - Agent Pipeline Agility Agents have learned from us that incorporating trending themes into their online content strategy plan will help them achieve their marketing goals. CLICK HERE TO LEARN MORE ABOUT CONNECT4MEDICARE. SOAs are needed for every face to face meeting. Share sensitive information only on official, secure websites. Download the Guidance Document Final Issued by: Centers for Medicare & Medicaid Services (CMS) Issue Date: January 01, 2020 HHS is committed to making its incorporated into a contract. WebThe Medicare Communications and Marketing Guidelines (MCMG) is a set of rules that insurance companies selling plans must follow. 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. An official website of the United States government. Medicare Marketing Guidelines 2021: Types of events and appointments Meetings and presentation fall under one of three categories. Because these plansRead more, Free Medicare Lead Program (Turning 65/Med Supplement Leads) NOTE: We have updated our lead program. Stay away from using any absolute statements on materials or during presentations. The guidelines allow organizations offering both Medicare Advantage and Prescription Drug Plans the ability to reference one document when developing marketing materials. 219 0 obj <>stream Agents should also avoid using the word free when talking about $0 premium 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. Sales made during an Open Enrollment or a Special Enrollment Period are eligible. Medicaid managed care plans contract with the state Medicaid agency. However, the does need to have an opt out option in option to be compliant. The .gov means its official. The Centers for Medicare & Medicaid Services (CMS) received OMBs approval for the latest ANOC and EOC models through 12/31/21. or In other words, if you are talking Medicare with someone get a scope. a new appointment will need to be made. Crowe and Associates offers a free Medicare lead program. You also need a scope for phone meetings and virtual meetings. If the materials are not generic in nature they will be considered marketing and require CMS review. 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. website belongs to an official government organization in the United States. Any website CMS considered marketing must be submitted for review and approval through the Health Plan Management System (HPMS). website belongs to an official government organization in the United States. website belongs to an official government organization in the United States. 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 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). 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. /0U4,P9L&009 =\.gi'Jo-=5I9)zwf?PGsr oom0\jd Z.F kD db3u2 An official website of the United States government. Agents are credited for all enrollments. means youve safely connected to the .gov website. Providing general information about the Medicare program would be considered an educational event. Agents are still not able to make unsolicited contact to prospects for MA, MAPD or PDP by phone or in person in common areas. Meetings and presentation fall under one of three categories. View the Agent/Broker Training & Testing Guidelines in the Downloads section below. %PDF-1.7 % Marketing January 1 through March 31 is considered the OEP. We provide agents with their own compliant website through Connect4Medicare. Chapter 3. Medicare Marketing Guidelines. Heres how you know. 4 0 obj Chapter 3 Medicare Marketing Guidelines - HHS.gov endstream endobj startxref 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. _n("<>E$mmZ4i57c]8~89jMJ0SL8,4B`i(e Medicare-Medicaid Plan (MMP) Marketing Information & Resources 422.2264: Beneficiary contact. 3 0 obj <>/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>> To sign up for updates or to access your subscriber preferences, please enter your contact information below. Official websites use .govA The seminars will be not only in Westchester and Putnam but also Dutchess counties. An official website of the United States government Medicare Communication pieces are more general and provide non specific information. Medicare Marketing Guidelines 2021 - Crowe & Associates If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov. For example, the same PTC can be used during AEP and OEP. hbbd```b``"@$c*dHR0,f@0y,"IK 6w % $fk00120 FIGG 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Medicare Communications and Marketing Guidelines 3-16-2022 (PDF), CY 2016 Medicare Marketing Guidelines (PDF), Medicare Marketing Guidelines 06.28.13 (ZIP), CY2018MedicareMarketingGuidelines_Final072017 (PDF), CY2019 Medicare Communications and Marketing Guidelines_Updated 090518 (PDF), Medicare Marketing Guidelines 06.17.14 Updated with Issue Date (ZIP), Medicare Communications & Marketing Guidelines Update Memo - 8-6-19 (PDF), Medicare Advantage Marketing Regulations - 422 Subpart V, Medicare Part D Marketing Regulations - 423 Subpart V. By: Michelle M. Saavedra The most wonderful time of the year is here! %%EOF CMS considers communications and marketing to be two different things. Marketing Guidelines MCS Improving or Maintaining Mental Health MedPAC Medicare Payment Advisory contract year 2021 and 2022. You can decide how often to receive updates. authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically lock Schedule marketing appointments immediately after the meeting You cannotdo the following: Require anyone to sign on or provide contact information Hand out or take applications or other plan specific information- (This is a marketing event) Give away cash prizes Provide or take enrollment forms Discuss carrier specific information HXUJjz9"UQM`v$,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^ 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). CMS Requirements ) For Medicare Advantage Plans. 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). LEARN WHAT WE HAVE TO OFFER HERE. The agent will be the broker of record on any enrollment. 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). 2023 medical commissions for applications one to four will be paid $0 PMPM until the agent or agency reaches five medical applications. 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. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. The guidelines allow organizations offering both Medicare Advantage and Prescription Drug Plans the ability to reference one document when developing marketing materials. 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 They cannot include plan specific information and cannot be intended to steer someone towards a specific plan. website belongs to an official government organization in the United States. <>/Metadata 3591 0 R/ViewerPreferences 3592 0 R>> Secure .gov websites use HTTPSA ( Sign up to get the latest information about your choice of CMS topics. We can expect to see Christmas decorations just about everywhere. The Marketing guidelines reflect CMS' interpretation of the marketing requirements and related provisions of the Medicare Advantage and Medicare Prescription Medicare Communications and Marketing Guidelines hb```a``Zk @16, TX3 You need a scope for any type of sales event. 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 lock 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. Link to recorded webinar https://attendee.gotowebinar.com/recording/2899290519088332033, All agents receive a personalized enrollment website. ) Medical Insurance Commissions Medical commissions apply to all metal 698 0 obj <>stream means youve safely connected to the .gov website. WebMedicare Marketing Guidelines . The site is secure. Agents are now able to make unsolicited contact with a prospects for MA, MAPD and PDP via email. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 9002 Federal Register /Vol. 85, No. 32/Tuesday, February 18, The SOA is used to document the type of products you will be discussing once you have a meeting. Stay up to date with Medicare Marketing Guidelines by attending our Medicare Training Series live events! Washington, D.C. 20201 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. 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. 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 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.