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AEP Compliance Guidance 2026
Bulletins and Other Guidance
- Notification Requirements for Non-Compliance with CMS Regulations Focused on Data Loss, Misuse or Breach
- Information on PAP ACC and MCD
- Member Connection & Retention Agent Guide
- Complaint Drivers and How to Avoid Them
- Reminder About Information on PAP Special Enrollment Period
- Best Practices Regarding Referral Fees
- Virginia Telephone Privacy Protection Act
- TPMO Marketing and Communications Guidance
- Appropriate Use of Disaster (DST) Special Enrollment Period Code
- YourPlanChoice Policy on SEP Use
- Proper Use of ACC SEP
- LPPO & HMO Sales Reminders
- Compliant Use of Informational, Telesales, and Enrollment Scripts
- SEP for Individuals Affected by a Disaster or Emergency
- Link to FEMA Site to Check Disaster Information
- Application Signature Reminder
- Required Reading and Distribution Reminder – YourPlanChoice Policy on SEP Use and Consequences for Misuse of SEPs
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CMS Approved Scripts
Devoted Health
Elevance Compliance Policies
Freedom/Optimum Compliance Policies
HealthSpring Compliance Policies
- HealthSpring Late Enrollment Penalty
- HealthSpring Disciplinary Actions Compliance Violations Form
- HealthSpring TPMO Relationship Form
- HealthSpring Continuity of Care
- HealthSpring HIPAA Privacy Rule
- HealthSpring HIPAA Security
- HealthSpring Lead Management Requirements
- HealthSpring Sales Policies
- HealthSpring Selling and Marketing
- HealthSpring Medicare Sales and Marketing Policies
- HealthSpring Rules of Engagement
Humana Compliance Policies
- MarketPoint Sales Integrity
- Call Recording Job Aid
- Call Recording FAQs
- Policy Scope of Appointment
- Call Quality Audit Tool
- CPL-AP-066b Job Aid_Interpreter Services for External Agents
- CPL-ISO-155f – Honors Plans and Tricare for Life_VA_ChampVA Job Aid
- CPL-ISO-155e – Part B Giveback Job Aid
- CPL-ISO-155d – Chronic Care SNP Job Aid
- CPL-ISO-155c – Enrollment with a Decision Maker – Job Aid
- CPL-ISO-155b – Veteran Healthcare and Engagement – Job Aid
- CPL-ISO-155a – Presentation of Benefits – Job Aid
- CPL-ISO-155 – Late Enrollment Penalty – Job Aid
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