Sign up to get the latest information about your choice of CMS topics. This works for health type products only however. 36>=#n!9OB2J{k+ye|8exK2rTx6>#8g-o,.@L [ZGkhyGGGCZ[^;85M
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>(d'X(^`ocTcdPs`/;5Auscv|]B8Uj7g6````>nH "y g` c? By continuing to use our site, you agree to our Privacy Policyand Terms of Use. Compliance is an important aspect of offering Medicare 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. on the guidance repository, except to establish historical facts. %%EOF
During a sales event: Sales events are an attempt to steer someone into a specific plan. lock Share sensitive information only on official, secure websites. Link to recorded webinar https://attendee.gotowebinar.com/recording/2899290519088332033, All agents receive a personalized enrollment website. Plans may now contact endstream
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<. We are in the process of retroactively making some documents accessible. On October 8, 2021, CMS released guidance regarding third-party marketing to Medicare Advantage organizations. 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 Official websites use .govA Heres how you know. t18:14Xw8zxs website belongs to an official government organization in the United States. Medicare Advantage plans are offered by private insurance companies. ) Secure .gov websites use HTTPSA You also need a scope for phone meetings and virtual meetings. CLICK HERE TO ACCESS MEDICARE MARKETING CMS MCMG MEMO. Before sharing sensitive information, make sure youre on a federal government site. It should focus more on promoting your services and general information about Medicare. 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 Even for events held by phone only. Official websites use .govA The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. WebAll MA communication and marketing regulations and guidance issued by CMS, as well as other applicable laws, continue to apply to materials and activities of participating 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. The agent will be the broker of record on any enrollment. View the model marketing materials in the Downloads section below. For example, the same PTC can be used during AEP and OEP. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Required fields are marked *. Official websites use .govA Provider Medicare Training & Marketing Guides | Health Net Skip to Main Content Healthnet.com uses cookies. The .gov means its official. g9fT'MzhrUJ"%$%*%\3j=)#|l_G___|~u,u*52
]G'co%:lO>mVXIWc#$P1+/24 ( 200 Independence Avenue, S.W. We can expect to see Christmas decorations just about everywhere. CMS requires all marketing websites to be submitted for review. 189 0 obj
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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. The guidelines allow organizations offering both Medicare Advantage and Prescription Drug Plans the ability to reference one document when developing marketing materials. ( 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* 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. For starters, you must wait until October 1 to market, talk about or review the new plans for the coming year for AEP. A federal government website managed by the A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 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. Cigna just announced their 2023 ACA commission schedule! sH2jy + a&@GJh& +%V,fpt!9'cfO+Ip|L2\1 422.2264: Beneficiary contact. Share sensitive information only on official, secure websites. H\n@yL. OK Find a Provider 559 0 obj
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In addition, we are also providing clarification to the existing guidance. Free should also not be included in any description of part B premium, part B reduction plans or dual eligible status. hb```a``Zk @16, TX3 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. To sign up for updates or to access your subscriber preferences, please enter your contact information below. https:// Stay away from using any absolute statements on materials or during presentations. To date, CMS has not released an update or memo for 2021. LEARN WHAT WE HAVE TO OFFER HERE. <>/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>>
Please be advised eligible producers will be paid commission for existing medical policies scheduled to renew 1/1/2023 under this 2023 commission schedule. Medicare Marketing Guidelines 2021: Types of events and appointments Meetings and presentation fall under one of three categories. 4 0 obj
We have tried to list the more common questions and aspects of the guidelines below. For Medicare Advantage Plans. authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically means youve safely connected to the .gov website. 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. ) %PDF-1.7
An official website of the United States government Medicare Open Enrollment Period Click Here, For the rules of educational events click here, CLICK HERE TO LEARN ABOUT OUR FREE LEAD PROGRAM. Following TPMO Guidelines CMS now considers agents and brokers to be third-party marketing organizations (TPMOs). On January 19, 2021, CMS issued a final rule entitled Medicare and Medicaid Programs; Contract Year 2022 Policy and Technical Changes to the Medicare What if a client would like to talk about additional or different products? But before creating any type of content, insurance agents must be able to identify the key traits that characterize their ideal audience. Prospects can use the site to compare plans, check doctors, run drug comparisons and enroll in plans. 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 lock ZbO
KM~ Medical Insurance Commissions Medical commissions apply to all metal levels and plans sold on or off Marketplace. [M7XRM v:rY DXF4UbT+"J%p$ Agility Insurance Services, LLC. Be careful not to confuse a PTC with a Scope of appointment form. Medicare Marketing Guidelines Marketing Models, Standard Documents, and Educational Material This section includes standardized outreach and educational material Sign up to get the latest information about your choice of CMS topics. 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). 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 Prospects and clients can compare plans (Advantage, supplement and part D), check on benefits, check doctors and Medications. Medical Insurance Commissions Medical commissions apply to all metal Only light snacks and refreshments. %
and which has been designated by CMS as meeting the requirements of an MA SNP as DISCLAIMER: The contents of this database lack the force and effect of law, except as U.S. Department of Health & Human Services If you are showing plan specific details such as benefits or premiums you are engaging in a sales event. website belongs to an official government organization in the United States. Toll Free Call Center: 1-877-696-6775. <>
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The Department may not cite, use, or rely on any guidance that is not posted Communication materials do not require CMS approval. Lastly, prospects can enroll through the site into any of the plans you are certified to offer. WebMarketing rules for Medicare plans People representing Medicare plans aren't allowed to: Ask for your personal information (like your Medicare, Social Security, bank account, or credit card numbers) over the phone unless its needed to verify membership, determine enrollment eligibility, or process an enrollment request. .gov 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. (SOA) The PTC is used to start contact with a prospect. 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. 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. Any website CMS considered marketing must be submitted for review and approval through the Health Plan Management System (HPMS). This plan has been rated 3.5 out of 5 stars. A federal government website managed by the endobj
Access to all major carriers with the ability to compare plan benefits and prescription drug costs. 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. lock Director, Medicare Drug Benefit and C & D Data Group. The key focus of being of patients over the CMS requirements on the healthcare industry. PTC forms can now be used for more than one enrollment period. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); With licensed sales professionals in both the investment and insurance fields, the experienced and knowledgeable team at Crowe & Associates can tend to your various needs. View the Agent/Broker Training & Testing Guidelines in the Downloads section below. An official website of the United States government endobj
lock 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. 0
Secure .gov websites use HTTPSA The .gov means its official. Medicaid managed care plans contract with the state Medicaid agency. 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. The SOA is used to document the type of products you will be discussing once you have a meeting. This FAQ walks through both permitted and They cannot include plan specific information and cannot be intended to steer someone towards a specific plan. The Department may not cite, use, or rely on any guidance that is not posted Marketing Guidelines MCS Improving or Maintaining Mental Health MedPAC Medicare Payment Advisory contract year 2021 and 2022. 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. 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 200 Independence Avenue, S.W. We provide agents with their own compliant website through Connect4Medicare. DISCLAIMER: The contents of this database lack the force and effect of law, except as By BluePeak Advisors May 26, 2021 On Friday May 28th, at 5pm ET, CMS will provide Plan Sponsors access to the new HPMS marketing module. Official websites use .govA There is no longer a rule that the SOA needs to be submitted 48 hours prior to the sales appointment. 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. HHS is committed to making its websites and documents accessible to the widest possible audience, However, the does need to have an opt out option in option to be compliant. At that time, any new medical sales commissions due will be paid, starting from the first 2023 application. But how is this fact going to help you sell more health insurance? WHY WORK WITH US? They are educational events, 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. You can decide how often to receive updates. Chapter 3. Medicare Marketing Guidelines. 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 on the guidance repository, except to establish historical facts. The site is secure. hb```b``c`e` B@1V @C Simply sign another scope documenting those products and continue the appointment. Washington, D.C. 20201 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. Most people who write articles haveRead more, Your email address will not be published. In the fall of 2017, CMS launched the Patients over Paperwork initiative. They are educational events, sales events and individual appointments. CMS considers communications and marketing to be two different things. In other words, if you are talking Medicare with someone get a scope. Federal government websites often end in .gov or .mil. 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. Advancing is not available. 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). or A Scope of Appointment form is used to document the types of plans you will be discussing with the client or prospect. Washington, D.C. 20201 or You are able to start taking/submitting applications on October 15th. The Marketing guidelines reflect CMS' interpretation of the marketing requirements and related provisions of the Medicare Advantage and Medicare Prescription All Rights Reserved. Take a look for yourself below. 422.2265: Websites. means youve safely connected to the .gov website. EJ+QTEEJ+QtE mU|9"TavkY pUqF`%l]7
>m! including individuals with disabilities. Share sensitive information only on official, secure websites. + xp0W:t|}S>6I1/FG'AoN f!ZtYR~=9Vm Cs,PCF%Q"j#j$72c}^=lF Same day scopes of compliant. HXUJjz9"UQM`v$,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^ Cigna just announced their 2023 ACA commission schedule! The difference between the two is the material used and intent of the material. 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. 1, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, Employer/Union-Sponsored Group 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). They are even needed if the meeting did not result in a sale. 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. The new marketing material module has enhanced functionality and will provide tools to Plans to facilitate tracking its marketing materials. The Centers for Medicare & Medicaid Services (CMS) received OMBs approval for the latest ANOC and EOC models through 12/31/21. Download the Guidance Document Final or @
Heres how you know. means youve safely connected to the .gov website. zCW`W- d%c@4F&4VXL`w dPO[ I)i61e$EI 2f=!z6"lqr Model marketing materials include: the standardized Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) templates and instructions, ANOC/EOC Errata, and Provider Directory. You can decide how often to receive updates. 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. website belongs to an official government organization in the United States. Toll Free Call Center: 1-877-696-6775. Manages the alignment of MOAAs Any information we provide is limited to those plans we do offer in your area. TI3*=0 The site is specific and codded to you the agent. In order to initiate conversations with prospects in person or by phone you will need to have permission to call/contact (PTC). This means that all marketing materials must be clear, and accurate, and not promote any plans inappropriately. Take a look for yourself below. Before sharing sensitive information, make sure youre on a federal government site. 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 <>/Metadata 3591 0 R/ViewerPreferences 3592 0 R>>
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WebHealth Net Medicare providers can review training and marketing guidelines to ensure services and coverage determinations are accurate. ) Stay up to date with Medicare Marketing Guidelines by attending our Medicare Training Series live events! endstream
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In addition, an email should not be intended to steer someone into a specific plan. 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. 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. The most recent memo from CMS is available below through the link. Heres how you know. You also must discuss the current star rating of plans and let the prospect know that it is out of 5 stars. Secure .gov websites use HTTPSA SUBJECT: Medicare Communications and Marketing Guidelines . WebConsultor SEO Jose Rdenas (Alicante): dedicado al posicionamiento web orgnico, el SEM, el marketing online y la la digitalizacin de empresas desde 2005. Heres how you know. https:// Issued by: Centers for Medicare & Medicaid Services (CMS). CMS replaced the models that were previously posted on this website to reflect the OMB approval number and expiration date. Providing general information about the Medicare program would be considered an educational event. incorporated into a contract. 1 0 obj
Issued by: Centers for Medicare & Medicaid Services (CMS). Especialista en Transformacin Digital.
Aunque tenga ya ms de 15 aos de experiencia como especialista SEO intento afianzar constantemente mis conocimientos sobre SEO y SEM hbbd```b``"@$c*dHR0,f@0y,"IK 6w %
$fk00120 FIGG Your email address will not be published. This section includes standardized outreach and educational material for Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, and 1876 Cost Plans. endstream
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Starting January 1, 2023, Ambetter Value plan members can access providers in the below list for all medical needs. Federal government websites often end in .gov or .mil. You can decide how often to receive updates. %PDF-1.7
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You need a scope for any type of sales event. 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. SOAs are needed for every face to face meeting. part 422, subpart V, continue to apply. 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 A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. An official website of the United States government. Because these plansRead more, Free Medicare Lead Program (Turning 65/Med Supplement Leads) NOTE: We have updated our lead program. If the materials are not generic in nature they will be considered marketing and require CMS review. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov. 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 An official website of the United States government. To sign up for updates or to access your subscriber preferences, please enter your contact information below. Make sure to do the scope form prior to starting the meeting however. The site is secure. An official website of the United States government Dental Insurance Commissions The dental commission structure pertains to business with effective dates of 1/1. x]nI}7\E23w=DHgs3"(JY'%PNFfV{g>7vu}6ULTugO'w~O]}'??.9{O~U5{`nv.!UMZ1C(=kUUh1/_f^J|giqT_^.'Z_. /0U4,P9L&009 =\.gi'Jo-=5I9)zwf?PGsr oom0\jd Z.F kD
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Meetings and presentation fall under one of three categories. Please contact, on American Progressive Medicare Contracting. .gov i !q Pf`qH X$AQ e&ExLL^LLA+nLuI-t)P&|neJrX!q@?,@mA 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
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