Overview

We have developed this section to provide required information about compliance with the laws and regulations governing provider involvement with the marketing and promotional activities of Medicare Advantage organizations, as set forth by CMS.

We are required to communicate all regulations to providers through policies, standards and manuals. Providers are responsible for implementing and adhering to all excerpted CMS regulations outlined in this Provider Reference Guide and in your contract. Please refer to your contract or call your Peoples Health representative for further requirements and information.

The following pages contain excerpts related to specific regulatory requirements, which may be found at https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-422#sp42.3.422.v.