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Per instructions at X, Part C and Part D sponsors need to upload - cms

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The document is a memorandum from the Centers for Medicare & Medicaid Services (CMS) outlining updates for Medicare Advantage organizations regarding the requirements for marketing materials in multiple languages. It specifies that plan sponsors must provide translated marketing materials in any language spoken by more than 10% of the service area population, based on data from the American Community Survey and U.S. Census. The memo includes instructions for accessing the HPMS Marketing Material Language Lookup module, conducting language analyses, and monitoring compliance with translation requirements.

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What is a Medicare Part D plan sponsor?

Part D plan sponsor or Part D sponsor refers to a PDP sponsor, MA organization offering a MA-PD plan, a PACE organization offering a PACE plan including qualified prescription drug coverage, and a cost plan offering qualified prescription drug coverage.

Do medicare advantage plans have to follow CMS guidelines?

Excluded Drugs Certain drugs are not coverable (excluded) under Part D. Excluded drugs include: Over-the-counter drugs (even if they are prescribed by a physician);[50] Drugs for weight loss or gain, even if used for non-cosmetic purposes, such as to treat morbid obesity.

Do Medicare Advantage plans have to follow original Medicare guidelines?

Plans must cover all medically necessary services that Original Medicare covers. For some services, plans may use their own coverage criteria to determine medical necessity.

Who has to file CMS disclosure?

Employers sponsoring group health plans that provide prescription drug coverage to individuals eligible for Medicare Part D coverage must annually disclose to the Centers for Medicare and Medicaid Services (CMS) whether that coverage is considered creditable or non-creditable.

Does UHC Medicare Advantage follow Medicare Guidelines?

CMS conducts program audits of MMPs, Medicare Advantage Organizations (MAOs), and Prescription Drug Plans (PDPs), collectively referred to as sponsors to help drive the industry towards improvements in the delivery of health care services.

Does CMS audit Medicare Advantage plans?

Doctors make less money from Medicare clients due to Medicare having a much stronger negotiating position on topics like pricing than private insurance companies. So doctors who are getting enough business from privately insured clients may reject medicare customers for that reason.

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