MCS Compliance Bulletins
1901-001 Code of Conduct and Compliance Program Training
1901-002 Privacy and Security Training
MCS-Policy-001 Policies Procedures Code of Conduct and Compliance Program
MCS-Policy-002 Compliance Officer Compliance Committee
MCS-Policy-003 Effective Training and Education
MCS-Policy-004 Effective Lines of Communication
MCS-Policy-005 Well Publicized Disciplinary Standards
MCS-Policy-006 Effective System for Routine Monitoring and Auditing
MCS-Policy-007 Prompt Response to Compliance Issues
MCS-Policy-008 Non Retaliation and Non Intimidation
MCS-Policy-009 Employee Conflict of Interest
MCS-Policy-010 Document Retention and Access to Records Regulatory Authorities
CY2019-MCMG_Updated-090518_Section 70.1
Specialized Alert_FMO Website requirements – Amerilife
CA-COMP-061 Protocol for Prevention and Detection of Financial Exploitat
Section 504 Best Practices for Medicare Health and Drug Programs
CA-COMP-071 Medicare Compliance Dashboard
CA-COMP-011 Handling of Identified Deficiencies by Operational Areas and First Tiers Entities
CA-COMP-008 Risk Assessment and Auditing and Monitoring Work Plans
Compliance Bulletins
2019 Change for Dual Eligible Enrollments
2019 Change for Dual Eligible Enrollments CB0001-19 January 2, 2019 Special Enrollment Period for Low Income Subsidy or Dual Eligible Beneficiaries (LIS/Dual SEP) The Center for Medicare and Medicaid Services ("CMS") implemented a...
Quarterly Reminder – Keeping Information Secure HIPPA Privacy and Security
2019 Change for Dual Eligible Enrollments CB0002-19 January 22, 2019 Reminder.... As a sales agent, consumers entrust you with a great deal of their personal information. HIPAA information is sensitive and should be kept...
Medicare Enrollment Periods for Part B
Medicare Enrollment Periods CB0003-19 February 6, 2019 When Does My Enrollment in Part B Become Effective? If you accept the automatic enrollment in Medicare Part B, or if you enroll during the first three months of your initial...
2019 Low Income Subsidy Extra Help Guidelines
2019 Low Income Subsidy Extra Help Guidelines CB0004-19 February 12, 2019 Help your clients with their prescription costs: Extra Help, also commonly known as Low-Income Subsidy (LIS), is a federal program that aides Medicare...
Medicare’s New “What’s Covered” App
Medicare's New "What's Covered" App CB0005-19 March 11, 2019 Are you or your client unsure if Medicare will cover a medical test or procedure? The Center for Medicare and Medicaid Services ("CMS") has a new app available to help...
Potential Medicare Genetic Testing Scam
Potential Medicare Genetic Testing Scam CB0006-19 March 21, 2019 You may have heard about a Medicare genetic testing scam where the test is being offered as part of a free health screening. This could be offered as cancer screening...
Quarterly Reminder – Keeping Information Secure HIPAA Privacy and Security
Keeping Information Secure HIPAA Privacy and Security CB0007-19 April 15, 2019 Reminder.... As a sales agent, consumers entrust you with a great deal of their personal information. HIPAA information is sensitive and should be kept...
Outreach Activities Educational Events
Outreach Activities Educational Events CB0008-19 May 24, 2019 You may be planning to host an Educational Event to talk about Medicare. Educational events are designed to inform beneficiaries about Medicare Advantage, Prescription...
Tricare for Life
Tricare for Life CB0009-19 June 13, 2019 It is important to be familiar with the basics of TRICARE for Life (TFL). TFL is designed to pay the patient's responsibility after Medicare pays their portion. How does an individual receive...
Medicare Savings Program (MSP)
Medicare Savings Program (MSP) CB0010-19 July 12, 2019 Did you know that Medicare eligible consumers can get help from their state to pay for Medicare premiums? Some states even help qualifying consumers pay Medicare Part A and Part...
Marketing for 2020 Annual Enrollment Period – Reminder
Marketing for 2020 Annual Enrollment Period - Reminder CB0011-19 July 22, 2019 The 2020 Annual Enrollment Period (AEP) is just a couple months away, starting on October 15th and ending on December 7th 2019. It is important to...
2020 AHIP and Carrier Certifications: Tips and Reminders
2020 AHIP and Carrier Certifications: Tips and Reminders CB0012-19 August 9, 2019 Prepare. 2020 AHIP and Carrier Certifications take time and brain power. It's a good idea to set aside a sufficient amount of time and energy to...
Maintaining Compliance
Maintaining Compliance CB0014-19 September 16, 2019 Trust and integrity are of utmost importance as an insurance agent. Your clients need to know you are offering them a product with their best interests in mind. While protecting...
Keep Your AEP Momentum: Avoid These Common Compliance Mistakes
Keep Your AEP Momentum: Avoid These Common Compliance Mistakes CB0015-19 October 14, 2019 The Centers for Medicare and Medicaid Services (CMS), which administers Medicare, is steadfast in its responsibility to protect beneficiaries...
2020 Medicare Deductibles and Coinsurance Updates
2020 Medicare Deductibles and Coinsurance Updates CB0016-19 November 11, 2019 Medicare premiums, deductibles, and co-payment amounts are adjusted each year in accordance with the Social Security Act. Please see the figures below for...
2020 Annual Enrollment Period Year End Follow Up
2020 Annual Enrollment Period Year End Follow Up CB0017-19 December 11, 2019 Annual Enrollment wrapped up on December 7th and now the plan carriers are busy processing applications received. To ensure that business continues to flow...
Keeping Information Secure HIPPA Privacy and Security
Keeping Information Secure HIPAA Privacy and Security CB0018-19 December 20, 2019 Reminder.... As a sales agent, consumers entrust you with a great deal of their personal information. HIPAA information is sensitive and should be...
MCS Bulletin Archive
MCS 2017 Bulletins
Specialized Compliance Alert; ST-045 Guide to Marketing Activities
Alerta Especializada de Cumplimiento; ST-045 Guía para Actividades de Mercadeo
AE-2017-002 Beneficiary Orientation Process about Durable Medical Equipment (DME)
AE-2017-002 Proceso de Orientación al Beneficiario sobre; Equipo Médico Duradero (DME)
1703-003 Guías para el Mercadeo de Productos
AE-2017-004 Elegibilidad Enfermedad Renal en Etapa Terminal (ESRD)
Alerta Especializada AE-2017-007 Prohibiciones en las Guías de Mercadeo de Medicare
MCS 2018 Bulletins
Fraud Waste and Abuse Training
MCS-Policy-024: Individual’s Privacy Rule Rights
MCS-Policy-027: Notice of Privacy Practices Policy
MCS Policy 056: Business Associate Agreement Policy
MCS-Policy-065: Minimum Necessary Policy
CA-COMP-069 Sales Allegations Investigation Independent Agents
CA-COMP-053 Document Retention and Access
CA-COMP-078 First Tiers Education and Training
1801-006 Privacy and Security Training (English)
FDR 1801-004 MCS Code of Conduct and Compliance Program (English)
FDR 1801-004 MCS Codigo de Conducta y Programa de Cumplimiento (Español)
Adiestramiento_MCMG_2019_y_otras_regulaciones
Benefits_and_Beneficiary_Protections
CY_2019_MA_Enrollment_and_Disenrollment_Guidance
CY2019-Medicare-Communications-and-Marketing-Guidelines_Updated