First page of cms ruling . EFFECTIVE date June 28th
- Thread starter DonP
- Start date
- 4,138
Your FMO is wrong. Look at the dates section. It literally tells you the final rule is effective 6/28/22 with an applicability date of 1/1/23.
Applicability- the quality of being relevant or appropriate.
Meaning, the date this rule APPLIES (the root word) is 1/1/2023, except for two sections, which is 2024.
If there was no applicability date, they would be right. However, because there is one, it's the one that applies.
See the below example.
It tells you the effective date without an applicability date. That means it is effective on that date.
I spent 7.5 years reading the Federal Register rules for Social Security Disability.
Applicability- the quality of being relevant or appropriate.
Meaning, the date this rule APPLIES (the root word) is 1/1/2023, except for two sections, which is 2024.
If there was no applicability date, they would be right. However, because there is one, it's the one that applies.
See the below example.
It tells you the effective date without an applicability date. That means it is effective on that date.
I spent 7.5 years reading the Federal Register rules for Social Security Disability.
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- Thread starter
- #3
- 4,138
All rules MUST have an effective date. Thats the date the rule is final. However, all rules do not have an applicability date. The applicability date is the day it applies.
When it's put into the registry, it has to have a 30-60 day effective date.
The effective date is the applicability date except when noted differently.
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- Thread starter
- #5
- 4,138
Well, her rationale makes absolutely no sense.
The government just picked an arbitrary date for "largest impact?" AEP is over on December 7th. That means that the actual largest impact would be from October 15 to December 7th. Medicare Advantage Open Enrollment is in January, and maybe you can tell me on MAPD, but do you to a lot of non-DSNP swaps during this timeframe?
Just FYI, my wife also works for SSA. She's a Case Specialist, so she helps guide Disability Examiners. Final Rules are all written the same on the Register. I posed this question to her in this way:
The final rule is effective 6/28/22 with an applicability date of 1/1/23. When do I have to start following the rule?
Her answer was January 1, 2023.
The effective date would be the date if there wasn't an applicability date.
You have two policy based federal program participants telling you what that means. You have every right to do whatever you want. However, your FMO is wrong on the date that you have to start following the rule, and I would challenge that overall the rule is being likely misinterpreted. That's from UHC compliance.
I'm not trying to win here.. I just want to make sure that people have accurate information.
- 29,522
I've seen lots of times when FMO's have been wrong.
Why would anyone believe what an FMO tells them? They get paid to push more products on the agents to make more money. I’ve pleaded for years to send out relevant information needed to conduct our business but all we ever get is a stupid new Med Sup that is paying an extra 100.00 per app to sell their sh**ty product.
- Thread starter
- #9
Actually she’s the assistant to the fmo head . Very nice and smart . That’s why I list fe commissions so all know to get as much as you can . By year end I’ll have gotten near $60 k worth of marketing money . I’ve built my mapd book for zero cost . So id say the deal I got is incredible . Best fmo on the planet . They put huge skin in the game and I’m grateful . Service second to none . I hope they make millions off me .
