Centers for Medicare & Medicaid Services (CMS) Provider Marketing Guidelines

Author: Jessica Bohm/Wednesday, October 12, 2016/Categories: CAPS

SilverScript Insurance Company requires all of its contracted providers to be aware of and comply with CMS’ Provider Marketing rules and regulations. This summary of Medicare guidelines governs how you can and cannot inform or educate patients about enrollment and plan information. CMS allows you to assist a beneficiary in providing an objective needs assessment along with potential plan options that may meet those needs. However, CMS is concerned that providers may not be fully aware of all plan benefits and costs, and that beneficiaries may be confused if they perceive their pharmacist is acting on behalf of a plan instead of in the patient's best interest.

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