Compliance Corner

Medicare/CMS Rules

What Agents Need To Know —
CMS Final Medicare Marketing Rules Summary

  • Most importantly, CMS does not finalize its proposal to prohibit TPMOs from distributing beneficiary contact information. Notably, CMS states that it is not even addressing or discussing this proposal in the final rule. This is excellent news.
  • The final rule was published in the Federal Register on April 12, 2023.
  • As we expected, the final rules are effective for marketing plans for Contract Year 2024.
  • As we also expected, CMS finalized most of its proposals either without modification or with just minor tweaks to the language.
  • CMS did, however, modify some of its proposals, and some modifications are helpful and provide more flexibility.

CMS Final Medicare Marketing Rules Summary

APRIL 2023
On Wednesday April 12, CMS published the Federal Register that included 2024 Policy and Technical Changes for the Medicare Advantage and Prescription Drug programs.

Below are some of the most impactful changes/clarifications that will affect you as an agent:
Read More

2023 CMS Final Rule
Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs
Read More

New CMS Call Recording Requirements
CMS has new Medicare marketing rules that affect how you work as an agent and will likely mean big changes for you and your agency.
These changes include: Read More

CMS Call Recording Requirements and FAQs

CMS Requires New Verbal Disclaimer to be Read During Telephonic Sales Calls
The disclaimer announced in the 2023 CMS Final Rule extends to telesales calls and must be read within the first minute of the call. This disclaimer now applies to all third-party CY2023 materials as well as telesales calls beginning October 1, 2022.

“We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact or 1-800-MEDICARE to get information on all of your options.”

Read More