The Medicare Communications and Marketing Guidelines (MCMG) interpret and provide guidance on the marketing and communication rules for Medicare Advantage (MA-only, MAPD) plans (also referred to as “plans”), Medicare Prescription Drug plans (PDP) (also referred to as “Part D sponsors”), and except where otherwise specified, Section 1876 cost plans (also referred to as “plans”) and employer/union-sponsored group MA or Part D plans. These plans are governed under Title 42 of the Code of Federal Regulations (CFR), Parts 422, 423, and 417, governing public health and safety.
Plans/Part D sponsors are responsible for ensuring compliance with CMS’ current communication and marketing regulations and guidance. This includes monitoring and overseeing the activities of their subcontractors, downstream entities, and/or delegated entities. If CMS finds that Plans/Part D sponsors have failed to comply with applicable rules and guidance, CMS may take compliance and/or enforcement actions, including, but not limited to, intermediate sanctions and/or civil money penalties.
All Medicare closely monitors compliance with all CMS communication regulations and marketing regulations. We audit the plan information in the Medicare Wizard plan directories every quarter by randomly selecting plans and then comparing our data with the plan’s syntax.
Report a Violation
Want to report a violation? If you spot a CMS communication or marketing violation by anyone in our organization or with any of our insurance partners please contact us at firstname.lastname@example.org. All reports are taken seriously and addressed promptly.