New regulations are now in place, which impact any Third-Party Marketing Organization (TPMO) Medicare Advantage and Prescription Drug Plan marketing materials developed for multiple carriers to market, sell, and enroll 2024 plans and products. Below is some helpful information.
What has changed?
Marketing materials developed by a TPMO for multiple MA organizations or plans MUST BE pre-reviewed by each MA organization, submitted to CMS in the Health Plan Management System (HPMS), and opted in by Wellcare prior to distribution. Materials submitted to CMS outside of the pre-review process will be proactively opted out in HPMS.
How do TPMOs submit marketing materials?
Disclaimer guides can be found on the disclaimer guide reference page.
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Highmark is aware that Steward Health Care has announced they will be closing some or all the facilities at Sharon Regional Health System in northwest Pennsylvania.
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Anthem will no longer be a Kentucky Medicaid Managed Care Organization (MCO) starting January 1, 2025.
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