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>m! 'j0"0",NG)1p8i{^h38R ur@msO;F$A$gOyOOr[{YxqyIJ. We have tried to list the more common questions and aspects of the guidelines below. Better to have one every time to be safe. An official website of the United States government. Share sensitive information only on official, secure websites. Plans may now contact Provider Medicare Training & Marketing Guides | Health Net Skip to Main Content Healthnet.com uses cookies. The guidelines allow organizations offering both Medicare Advantage and Prescription Drug Plans the ability to reference one document when developing marketing materials. WebGeneral marketing requirements. means youve safely connected to the .gov website. The site is specific and codded to you the agent. i !q Pf`qH X$AQ e&ExLL^LLA+nLuI-t)P&|neJrX!q@?,@mA HXUJjz9"UQM`v$,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^ SUBJECT: Medicare Communications and Marketing Guidelines . website belongs to an official government organization in the United States. For information on the Medicare Open Enrollment Period Click Here. 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 Lastly, prospects can enroll through the site into any of the plans you are certified to offer. 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. 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. 2023 medical commissions for applications one to four will be paid $0 PMPM until the agent or agency reaches five medical applications. Stay up to date with Medicare Marketing Guidelines by attending our Medicare Training Series live events! Overall, the holiday season seems to bring joy and family unity around the world. lock Take a look for yourself below. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 2 0 obj
You can decide how often to receive updates. U.S. Department of Health & Human Services But how is this fact going to help you sell more health insurance? .gov hb```b``c`e` B@1V @C At that time, any new medical sales commissions due will be paid, starting from the first 2023 application. Prospects and clients can compare plans (Advantage, supplement and part D), check on benefits, check doctors and Medications. 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 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. 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 Official websites use .govA All Rights Reserved. The Department may not cite, use, or rely on any guidance that is not posted %PDF-1.7
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The Centers for Medicare & Medicaid Services (CMS) received OMBs approval for the latest ANOC and EOC models through 12/31/21. An official website of the United States government. Reviews are done through the carriers in most cases. Commissions will be paid on posted premiums applied to the agents or agencys clients eligible cases. Share sensitive information only on official, secure websites. hmo6 Download the Guidance Document Final Issued by: Centers for Medicare & Medicaid Services (CMS) Issue Date: January 01, 2020 HHS is committed to making its %PDF-1.7
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Communication materials do not require CMS approval. ) 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. 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. 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. zCW`W- d%c@4F&4VXL`w dPO[ I)i61e$EI 2f=!z6"lqr Heres how you know. Are you contracted with Ambetter yet? What if a client would like to talk about additional or different products? https:// %PDF-1.6
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Advancing is not available. View the model marketing materials in the Downloads section below. This plan has been rated 3.5 out of 5 stars. website belongs to an official government organization in the United States. CLICK HERE TO ACCESS MEDICARE MARKETING CMS MCMG MEMO. Current guidance and model member materials issued by CMS through the Health Plan Management System (HPMS) appear below. Ambetter Value plans are available in: Broward, Clay, Duval, Hillsborough, Lake, Miami-Dade, Orange, Osceola, Palm Beach, Pasco and Seminole counties. Same day scopes of compliant. and which has been designated by CMS as meeting the requirements of an MA SNP as Sign up to get the latest information about your choice of CMS topics. Heres how you know. They are even needed if the meeting did not result in a sale. An official website of the United States government hb```a``Zk @16, TX3 H\n@yL. .gov WebMarketing Guidelines such that the MAO cannot comply with both, the MAO must comply with 2021, a communication plan and all draft communication(s) for that change, must be All other CMS requirements relating to the review of marketing materials under 42 C.F.R. Medical commissions will be paid for up to four children on the plan. The Medicare Marketing Guidelines 2021 are the same as the 2020 MCMG. 5
Before sharing sensitive information, make sure youre on a federal government site. 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). Please contact, on American Progressive Medicare Contracting. 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. 36>=#n!9OB2J{k+ye|8exK2rTx6>#8g-o,.@L [ZGkhyGGGCZ[^;85M
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>(d'X(^`ocTcdPs`/;5Auscv|]B8Uj7g6````>nH "y g` c? WebConsultor SEO Jose Rdenas (Alicante): dedicado al posicionamiento web orgnico, el SEM, el marketing online y la la digitalizacin de empresas desde 2005. Issued by: Centers for Medicare & Medicaid Services (CMS). 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. It should focus more on promoting your services and general information about Medicare. ( You also need a scope for phone meetings and virtual meetings. ZbO
KM~ How to become a Medicare agent If youre interested in how to, Online Enrollment- Enroll prospects online without the need for a face to face appointment. We are in the process of retroactively making some documents accessible. Please be advised eligible producers will be paid commission for existing medical policies scheduled to renew 1/1/2023 under this 2023 commission schedule. %%EOF
or Communication pieces are more general and provide non specific information. If you are showing plan specific details such as benefits or premiums you are engaging in a sales event. 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 422.2265: Websites. 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 endstream
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If the materials are not generic in nature they will be considered marketing and require CMS review. LEARN WHAT WE HAVE TO OFFER HERE. X;/?~I(A@%EOMG1Rc9 5:E[0n8 ) The new marketing material module has enhanced functionality and will provide tools to Plans to facilitate tracking its marketing materials. + xp0W:t|}S>6I1/FG'AoN f!ZtYR~=9Vm Cs,PCF%Q"j#j$72c}^=lF Sponsors still are falling behind in their postmarket reporting, according to the FDAs yearly update on progress of postmarketing requirements/commitments. An official website of the United States government CMS requires all marketing websites to be submitted for review. There is no longer a rule that the SOA needs to be submitted 48 hours prior to the sales appointment. Most people who write articles haveRead more, Your email address will not be published. The key focus of being of patients over the CMS requirements on the healthcare industry. Medicaid managed care plans contract with the state Medicaid agency. If they would like to review non health related products such as life insurance, LTC, annuity, etc. This section includes standardized outreach and educational material for Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, and 1876 Cost Plans. The Department may not cite, use, or rely on any guidance that is not posted Model marketing materials include: the standardized Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) templates and instructions, ANOC/EOC Errata, and Provider Directory. Qu4 8q ]8!FaO6{dB>8ws#%=MK%E,E*e*!*O|?Q4RRRRSiRiS]O8kgn^0N.iP~3nOF"FD"yza4={ o?l)$Fq\xH*QDEl IU%QJ(D* During a sales event: Sales events are an attempt to steer someone into a specific plan. x]nI}7\E23w=DHgs3"(JY'%PNFfV{g>7vu}6ULTugO'w~O]}'??.9{O~U5{`nv.!UMZ1C(=kUUh1/_f^J|giqT_^.'Z_. January 1 through March 31 is considered the OEP. Agility Insurance Services, LLC. <>/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>>
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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. Secure .gov websites use HTTPSA hbbd```b``"@$c*dHR0,f@0y,"IK 6w %
$fk00120 FIGG lock A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Sign up to get the latest information about your choice of CMS topics. We can expect to see Christmas decorations just about everywhere. We provide agents with their own compliant website through Connect4Medicare. https:// To date, CMS has not released an update or memo for 2021. Issued by: Centers for Medicare & Medicaid Services (CMS). DISCLAIMER: The contents of this database lack the force and effect of law, except as You are able to start taking/submitting applications on October 15th. 200 Independence Avenue, S.W. "N E{8Q*~gc{;Cu6c8CVjm/i~e?]3t1. <>
You can decide how often to receive updates. WebHealth Net Medicare providers can review training and marketing guidelines to ensure services and coverage determinations are accurate. Dental Insurance Commissions The dental commission structure pertains to business with effective dates of 1/1. 422.2264: Beneficiary contact. 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. Click Here, We do not offer every plan available in your area. An official website of the United States government a new appointment will need to be made. General information is followed by state-specific information, which is alphabetized by state name. 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. Washington, D.C. 20201 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. WebChapter 3 Medicare Marketing Guidelines For Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, and 1876 Cost plans CLICK HERE TO LEARN MORE ABOUT CONNECT4MEDICARE. Download the Guidance Document Final The consumer must also know if the plan is considered an low performing plan. lock CMS is finalizing a technical change to enable CMS to calculate the 2023 Part C Star Ratings for the three Healthcare Effectiveness Data and Information Set (HEDIS) measures collected through the Health Outcomes Survey: Monitoring Physical Activity; Reducing the Risk of Falling; and Bladder Control. Official websites use .govA Washington, D.C. 20201 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. %%EOF
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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. This means that all marketing materials must be clear, and accurate, and not promote any plans inappropriately. (SOA) The PTC is used to start contact with a prospect. SOAs are needed for every face to face meeting. By: Michelle M. Saavedra The most wonderful time of the year is here! Among the salient points: Medicare Advantage Organizations are responsible for first tier, downstream or related entities (FDRs) adherence to all terms and conditions of the organizations contract with CMS ) <>/Metadata 3591 0 R/ViewerPreferences 3592 0 R>>
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Any website CMS considered marketing must be submitted for review and approval through the Health Plan Management System (HPMS). ( 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. Medicare Open Enrollment Period Click Here, For the rules of educational events click here, CLICK HERE TO LEARN ABOUT OUR FREE LEAD PROGRAM. Medicare Marketing Guidelines 2021: Types of events and appointments Meetings and presentation fall under one of three categories. For example, the same PTC can be used during AEP and OEP. An official website of the United States government Starting January 1, 2023, Ambetter Value plan members can access providers in the below list for all medical needs. @
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). CMS replaced the models that were previously posted on this website to reflect the OMB approval number and expiration date. g9fT'MzhrUJ"%$%*%\3j=)#|l_G___|~u,u*52
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<. A Scope of Appointment form is used to document the types of plans you will be discussing with the client or prospect. ( Agility Agents have learned from us that incorporating trending themes into their online content strategy plan will help them achieve their marketing goals. A federal government website managed by the However, the does need to have an opt out option in option to be compliant. lock Share sensitive information only on official, secure websites. website belongs to an official government organization in the United States. A federal government website managed by the 1, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, Employer/Union-Sponsored Group Medical Insurance Commissions Medical commissions apply to all metal levels and plans sold on or off Marketplace. 0
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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. Link to recorded webinar https://attendee.gotowebinar.com/recording/2899290519088332033, All agents receive a personalized enrollment website. Medicare Marketing Guidelines Marketing Models, Standard Documents, and Educational Material This section includes standardized outreach and educational material View the Agent/Broker Training & Testing Guidelines in the Downloads section below. %
website belongs to an official government organization in the United States. means youve safely connected to the .gov website. American Progressive Medicare Contracting American Progressive Medicare Contracting: American Progressive will be offering 3 new plans in NY for 2016 in Westchester, Putnam, Dutchess and Ulster counties. Guidance for this document can be located at https://www.cms.gov/Medicare/Health-Plans/Managed Care Marketing/Final Part C Marketing Guidelines. 698 0 obj
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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 educational events, sales events and individual appointments. American Progressive Medicare Contracting, Teladoc, Lasik Vision Correction, Discount Dental,Vision,Rx Sales Contract, Medicare Advantage vs Supplement Plans Sales, Free Medicare Lead Program (Turning 65/Med Supplement Leads), https://attendee.gotowebinar.com/recording/2899290519088332033, Report the event prior to conducting and advertising it, You can distribute and collect applications, Call attendees from the sales event if they provided permission to contact (Gave you a PTC card or flyer), You cannot offer meals. (You can offer meals at educational events), Avoid absolute statements This is the best Medicare Advantage plan, You must have a sign in sheet but cannot require anyone to sign in. 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). Take a look for yourself below. Meetings and presentation fall under one of three categories. Stay away from using any absolute statements on materials or during presentations. Your email address will not be published. You need a scope for any type of sales event. 1 0 obj
Sign up to get the latest information about your choice of CMS topics. 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. In addition, they can compare drug plans in a manner similar to the Medicare drug plan finder site. }
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db3u2 In the fall of 2017, CMS launched the Patients over Paperwork initiative. The SOA is used to document the type of products you will be discussing once you have a meeting. Following TPMO Guidelines CMS now considers agents and brokers to be third-party marketing organizations (TPMOs). Marketing Guidelines MCS Improving or Maintaining Mental Health MedPAC Medicare Payment Advisory contract year 2021 and 2022. endobj
incorporated into a contract. 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. For Medicare Advantage Plans. 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 Free should also not be included in any description of part B premium, part B reduction plans or dual eligible status. .gov or Secure .gov websites use HTTPSA or
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The guidelines allow organizations offering both Medicare Advantage and Prescription Drug Plans the ability to reference one document when developing marketing materials. Sign up to get the latest information about your choice of CMS topics. On October 8, 2021, CMS released guidance regarding third-party marketing to Medicare Advantage organizations. hbbd``b`>$ &$ .+ bX1
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Official websites use .govA Secure .gov websites use HTTPSA The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. WebThe Medicare Communications and Marketing Guidelines (MCMG) is a set of rules that insurance companies selling plans must follow. Before sharing sensitive information, make sure youre on a federal government site. authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically The most recent memo from CMS is available below through the link. 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. Only light snacks and refreshments. pgA +tKe.hT+mqOi^Ef(V:
09\O^]S`Uj0? In fact, two of the plans will beRead more, Medicare Leads Available At No Cost Note: Our blog: Medicare Leads Available At No Cost program has been changed. 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 In other words, if you are talking Medicare with someone get a scope. sH2jy + a&@GJh& +%V,fpt!9'cfO+Ip|L2\1 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 WebThe Medicare Advantage (MA) and Part D Marketing and Communications (MCMG) provides the marketing and communications requirements for Medicare Advantage (MA) plans, endstream
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Medicare Advantage plans are offered by private insurance companies. 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 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