How to Prepare for 2019 CMS Rule Change to Marketing Materials: ANOCs, EOCs, Summary of Benefits - Issues, Impact, Disclosures, and Audits

Debbie Mabari, CEO, CODY. Hannah LaMere, Director - Special Projects, CODY. Mike Turrell, CEO, Ultimate Health Plans.

January 29, 2020

  • CMS Expectations: Plans must verify that accurate and complete data is represented on materials; identify benefit changes year-to-year; reduce/eliminate erratas

  • Regulatory Changes: Allowing for e-materials means that plans need to be diligent on data presented to members; CMS’s distinguishing between e-communication and e-marketing materials may lead to more focus and scrutiny on these required materials

  • Audits and Best Practices: Audit issues; disclosed issues to CMS tied to CPE audit and pre-audit issue summary; beneficiary impact; tracer sample

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