Thursday, June 2, 2011

CMS Issues Contract Year 2012 Medicare Model Marketing Materials

CMS has issued the 2012 Medicare Model Marketing Materials. Most materials have seen very few revisions since last year, but the following documents have all been released:
  • Provider Directory
  • Outbound Education Verification Script
  • Outbound Education Verification Letter
  • Scope of Appointment Form
  • Part D Abridged Formulary
  • Comprehensive Formulary
  • Excluded Provider Letter
  • Pharmacy Directory
  • Prescription Transfer Letter
  • Transition Letter
  • LIS Website Premium Summary Table
  • LIS Rider
CMS will release the model Explanation of Benefits (EOB) document separately. The largest changes worth noting are in the ANOC/EOC templates.

All templates, models and applicable instructions are available on the CMS Part C Marketing web page, and the Part D models and summary of changes made to these models are located on the Part D Marketing Models web page.

Merrill Corp will continue to monitor these changes, and will keep you up to date with all of the compliance and marketing issues the industry presents. 


Pam Argeris is a thought leader in the Healthcare Industry and possesses extensive, hands-on experience with CMS compliance, and multiple regulatory bodies such as NCQA, JACHO, and DOI. In her role at Merrill Corp., Pam focuses on developing solutions for compliance and quality assurance, delivered in a cost effective manner to improve beneficiary and prospect communications. You can contact Pam at

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