The Road to Success With Care1st MARKETING Do's & Don'ts
As many of you may not be aware, CMS states that “The
definition of marketing materials extends beyond the
public’s general concept of advertising materials to
include notification forms and letters used to enroll,
disenroll, and communicate with the member regarding
many different membership scenarios.” Now, with that
said, here are the do’s and don’ts to be sure you remain
CMS complaint.
The Do’s:
• Conduct in-home sales presentations with CMS-approved
sales materials when you have a confirmed appointment
with the resident.
• Educate members about any available state assistance
programs.
• Comply with the National-Do-Not-Call Registry, and
honor “do not call again” request
• Participate in industry Health Fairs and present,
where appropriate, to answer any potential questions.
• Offer a gift of less than $15 retail value to any
sales event participant, regardless of enrollment.
• Know that the plan will conduct welcome calls to
recently enrolled beneficiaries to confirm enrollment
and ensure that the new member has an understanding of
plan rules.
• Give the following disclaimer in writing to the member
prior to enrollment of at the time of enrollment: “The
person that is discussing Plan options with you is
either employed by or contracted with <name of
Organization> and maybe compensated based on your
enrollment in a plan.”
• Conduct sales presentation in areas such as the
cafeteria of a nursing home or senior center.
The Don’t:
• Conduct door-to-door solicitation or outreach prior to
receiving an invitation from the prospect to provide
assistance in his or her home.
• Imply in any written materials or other contact with
the beneficiary that the organization has the authority
to determine the member’s eligibility for state
assistance programs.
• Share any member information, financial or otherwise,
with any entity not directly involved in the outreach
process.
• Call any prospect after Federal or State calling
hours.
• Accept enrollment forms at industry health fairs.
• Offer any gift as an inducement to enroll in the Plan.
• Conduct sales presentations in a health care setting.
• Take part in any discriminatory marketing practices
such as “cherry picking” healthier patients.