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Sources: 2019 Final Rule; "CMS Finalizes Policy Changes and Updates for Medicare Advantage and the Prescription Drug Benefit Program for Contract Year 2019 (CMS-4182-F)," CMS 2018 Fact Sheet, April 2, 2018; "Request for Input on the 2019 Medicare Communications and Marketing Guidelines," HPMS memo, April 12, 2018. CMS also has rules for when you are allowed to market products and the way you can do it. For starters, you must wait until October 1 to market, talk about or review the new plans for the coming year for AEP. You are able to start taking/submitting applications on October 15th. January 1 through March 31 is considered the OEP. Medicare Advantage Value-Based Insurance Design Model CY 2020 Communications and Marketing Guidelines July 10, 2019 Newly participating organizations for 2020 must submit their NOB material for review to HPMS by August 6, 2019. CMS will then review the NOB materials and provide approval no later than September 16, 2019. This 2020 memo is meant to be used in conjunction with the 2019 Medicare Communications and Marketing Guidelines and should be referenced for 2021 plan year sales. Listen to this article: podbean.com refused to connect There are a few critical updates that we'd like to cover to make sure you're prepared for the upcoming plan year. This Informational Bulletin (CIB) (PDF, 58.46 KB) describes CMS' intent to use enforcement discretion related to the managed care final rule, particularly for new requirements that are applicable for rating periods for contracts beginning on or after July 1, 2017. States interested in utilizing this enforcement discretion should identify for CMS those regulations of the final rule that they In regard to the advocate/stakeholder review, CMS did issue a draft 2020 Medicare Communications and Marketing Guidelines for feedback. Yet, instead of subsequently releasing the final 2020 MCMG, CMS veered from its long-time practice and issued an HPMS memo that tell plans to look at the changes in the memo and refer to the 2019 MCMG. On March 12, 2020, CMS released COVID-19 FAQs for State Medicaid and Children's Health Insurance Program (CHIP) Agencies. On March 11, 2020, CMS sent an email with the following information: The CDC has released coronavirus.gov, a new website to share CDC updates on COVID-19. Americans should be prepared for the possibility of a COVID-19 Medicaid managed care plan's contract with the state Medicaid agency. 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 The number of beneficiary complaints related to practices of third-party marketing organizations has more than doubled, from 15,497 in 2020 to 39,617 in 2021, CMS wrote in Thursday's proposed rule. Compliance with the 2020 Medicare Communications and Marketing Guidelines (MCMGs) is a priority for every Medicare Advantage and Part D plan. CMS first released a redlined draft of the 2020 MCMGs on March 21, 2019. On August 6, 2019, CMS issued an HPMS memorandum summarizing the final changes to the MCMGs for the 2020 contract year. Marketing Guidelines MCS Improving or Maintaining Mental Health MedPAC Medicare Payment Advisory lotter on DSKBCFDHB2PROD with PROPOSALS2 VerDate Sep<11>2014 18:57 Feb 14, 2020 Jkt 250001 PO 00000 Frm 00002 Fmt 4701 Sfmt 4702
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