Will CMS Call a MAPD Client?

[Bobster999]

I think that only comes up when there is a complaint by the enrollee. I assisted a coworker with such a complaint a couple of years ago. The list had a whole litany of questions. Among these, United Health asked for a copy of the SOA, method of contact, any contacts since enrollment, broker's version of the story, etc.

Ok then, so it sounds like CMS only gets involved when the client files a complaint...

 

[wehotex]

Ok then, so it sounds like CMS only gets involved when the client files a complaint...

No, it was the carrier that asked for all of that information.

 

[Bobster999]

No, it was the carrier that asked for all of that information.

Yes I understand that. I assume the carrier asked for the info to be prepared to for a CMS inquiry, knowing that CMS would demand those documents. I guess i was mainly trying find out if anyone had been "put in time out" by CMS because of CMS making random contact to MAPD clients and asking them questions to collaborate the documented info that agents have. Hope that makes sense.

 

[DS4]

I was just curious if you know anyone that said CMS had questioned an agent about initial contact.

Most seniors don't even remember what they had for breakfast. At least that is what I'm banking on.

 

[goillini52]

Most seniors don't even remember what they had for breakfast. At least that is what I'm banking on.

Oatmeal and prunes, thank you very much.

 

[Bobster999]

Oatmeal and prunes, thank you very much.

I think you meant to say prunes and oatmeal. Most dont eat oatmeal and prunes.

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Most seniors don't even remember what they had for breakfast. At least that is what I'm banking on.

there is some truth to that... especially after a couple weeks...

 

[somarco]

Most seniors don't even remember what they had for breakfast. At least that is what I'm banking on.

Are you still handing out business cards that self destruct after 2 weeks?

 

[Todd King]

Most seniors don't even remember what they had for breakfast. At least that is what I'm banking on.

There is a bright spot with this, especially this time of year. Many of your clients can hide their own Easter eggs!!

 

[GreenSky]

Are you still handing out business cards that self destruct after 2 weeks?

I've been throwing bottles at them when they pick up their incontinence supplies.

Rick

 

[Bobster999]

Are you still handing out business cards that self destruct after 2 weeks?

omg, i will be looking over my shoulder now cause you have been following me...