The Medicare Communications and Marketing Guidelines (MCMG) interpret and provide guidance on the marketing and communication rules for Medicare AdvantageMedicare Advantage (MA), also known as Medicare Part C, are health plans from private insurance companies that are available to people eligible for Original Medicare (Medicare Part A and Medicare Part B).... (MA-only, MAPD) plans (also referred to as “plans”), Medicare Prescription Drug plansMedicare Part D is Medicare's prescription drug plan program. Plans are offered by private insurance companies and cover outpatient prescriptions.... (PDP) (also referred to as “Part D sponsors”), and except where otherwise specified, Section 1876 cost plans (also referred to as “plans”) and employer/union-sponsored group MA or Part D plans. These plans are governed under Title 42 of the Code of Federal Regulations (CFR), Parts 422, 423, and 417, governing public health and safety.
Plans/Part D sponsors are responsible for ensuring compliance with CMS’ current communication and marketing regulations and guidance. This includes monitoring and overseeing the activities of their subcontractors, downstream entities, and/or delegated entities. If CMS finds that Plans/Part D sponsors have failed to comply with applicable rules and guidance, CMS may take compliance and/or enforcement actions, including, but not limited to, intermediate sanctions and/or civil money penalties.
Compliance
MedicareWire closely monitors and complies with all CMS communication and marketing regulations. We self audit the plan information published in the MedicareWire plan directories quarterly by randomly selecting plans and comparing our data and syntax with that used by the plan.
Report a Violation
Want to report a CMS violation? If you spot a CMS communication or marketing violation by anyone in our organization or with any of our insurance partners please contact us at david@medicarewire.com. We take all reports very seriously and will address those concerns quickly.