Will CMS Call a MAPD Client?

Bobster999

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Will CMS call a MAPD client and ever ask them about the agent's method of contact etc... ?
 
I was just curious if you know anyone that said CMS had questioned an agent about initial contact. If you dont know, thats kool too.
 
Along the same line, has anyone been questioned on SoAs or audited in that sense?

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.
 
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