Medicare Advantage Communications, Marketing and Training Rules 

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This is a technical page, that will cross most anyone’s eyes.

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Model Materials

 

State-Specific Information

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Medicare Managed Care Manual 

 

Part C—MEDICARE+CHOICE PROGRAM

Legal Codes

Plain English on Part C – Medicare Advantage

Sec. 1851. Eligibility, election, and enrollment

Sec. 1852. Benefits and beneficiary protections

Sec. 1853. Payments to Medicare+Choice organizations

Sec. 1854. Premiums and Premium Amounts

Sec. 1855. Organizational and financial requirements for Medicare+Choice organizations; provider–sponsored organizations

Sec. 1856. Establishment of standards

Sec. 1857. Contracts with Medicare+Choice organizations

Sec. 1858. Special Rules for MA Regional Plans

Sec. 1859. Definitions; miscellaneous provisions

42 CFR Part 422 – MEDICARE ADVANTAGE PROGRAM

General information for organizations currently offering Medicare Advantage plans, or those planning to do so in the future ◦

http://www.cms.gov/HealthPlansGenInfo/

•Applications for organizations seeking to offer a Medicare Advantage plan ◦

http://www.cms.gov/MedicareAdvantageApps/

 

 

Medicare Managed Care Manual

War Dogs Movie Trailer –
I feel that CMS wants to put agents in jail for the smallest infraction…

AEY’s plans ran into trouble in April, 2007, when they discovered that the 7.62 mm ammunition they had planned to buy from the Albanian Ministry of Defense was actually manufactured in Communist China. Following the Tien An Minh Square massacre, the United States Government had enacted an arms embargo that precluded purchases of ammunition made by any entity that was part of Communist China’s military establishment.

A clause noting this prohibition and precluding supplying the contract with Chinese-made ammunition was included prominently

[The AHIP and Insurance Company Training we get – IMHO is defective – It doesn’t reference the actual law or CMS Rule!]  in the Army’s contract with AEY.   Justice.Gov

I’d have to re review everything.  There may have been some improvement

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Capitalist – Not Communist

G-d Father Emilio Barzini: [during a meeting with the Five Families] Times have changed. It’s not like the Old Days, when we can do anything we want. A refusal is not the act of a friend. If Don Corleone had all the judges, and the politicians in New York, then he must share them, or let us others use them. He must let us draw the water from the well. Certainly he can present a bill for such services; after all… we are not Communists. imdb.com

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