Marketing Representatives and Training. An MCOP that utilizes marketing representatives for marketing presentations requested by eligible individuals shall comply with the following: a. All marketing representatives shall be employees of the MCOP. A copy of the representative’s job description shall be submitted to ODM. b. No more than 50% of each marketing representative’s total annual compensation, including salary, benefits, and bonuses may be paid on a commission basis. For the purpose of this rule, any performance-based compensation would be considered a form of commission. Upon ODM request, the MCOP shall make available for inspection, the compensation packages of marketing representatives. c. Marketing representatives shall be trained and duly licensed by the Ohio Department of Insurance to perform such activities. d. The MCOP shall develop and submit to ODM for prior approval (at initial development and at the time of revision) a marketing representative training program which shall include: i. A training curriculum including: 1. A full review of the MCOP’s solicitation brochure, provider directory, and all other marketing materials including all video, electronic, and print. 2. An overview of the applicable public assistance benefits designed to familiarize and impart a working knowledge of these programs. 3. The MCOP’s process for providing sign language, oral interpretation, and oral translation services to an eligible individual to whom a marketing presentation is being made, including a review of the MCOP’s written marketing materials. 4. Instruction on acceptable marketing tactics, including a requirement that the marketing representatives may not discriminate on the basis of age, gender, gender identity, sexual orientation, disability, race, color, religion, national origin, military status, genetic information, ancestry, health status, or the need for health services. 5. An overview of the ramifications to the MCOP and the marketing representatives if ODM rules are violated. 6. Review of the MCOP’s code of conduct or ethics. ii. Methods that the MCOP will utilize to determine initial and ongoing competency with the training curriculum. e. Any MCOP staff person providing MCOP information or making marketing presentations to an eligible individual shall: i. Visibly wear an identification tag and offer a business card when speaking to an eligible individual and provide information which ensures the staff person is not mistaken for an Ohio Medicaid Consumer Hotline, federal, state or county employee. ii. Inform eligible individuals the following MCOP information or services are available and how to access the information or services: 1. Sign language, oral interpretation, and oral translation services at no cost to the member. 2. Written information in the prevalent non-English languages of eligible individuals or members residing in the MCOP’s service area. 3. Written information in alternative formats. iii. Not discriminate on the basis of age, gender, gender identity, sexual orientation, race, color, religion, national origin, military status, ancestry, disability, genetic information, health status, or the need for health services. iv. Not ask eligible individuals questions related to health status or the need for health services. f. Only ODM approved MCOP marketing representatives may make a marketing presentation upon request by the eligible individual or in any way advise or recommend to an eligible individual that he or she select MCOP membership in a particular MCOP. As provided in ORC Chapter 1751. and Section 3905.01, all non-licensed agents, including providers, are prohibited from advising or recommending to an eligible individual that he or she select MCOP membership in a particular MCOP as this would constitute the unlicensed practice of marketing. g. MCOP informational displays do not require the presence of a marketing representative if no marketing presentation will be made.
Appears in 12 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
Marketing Representatives and Training. An MCOP MCP that utilizes marketing representatives for marketing presentations requested by eligible individuals shall comply with the following:
a. All marketing representatives shall be employees of the MCOPMCP. A copy of the representative’s job description shall be submitted to ODM.
b. No more than 50% of each marketing representative’s total annual compensation, including salary, benefits, and bonuses may be paid on a commission basis. For the purpose of this rule, any performance-based compensation would be considered a form of commission. Upon ODM request, the MCOP MCP shall make available for inspection, the compensation packages of marketing representatives.
c. Marketing representatives shall be trained and duly licensed by the Ohio Department of Insurance to perform such activities.
d. The MCOP MCP shall develop and submit to ODM for prior approval (at initial development and at the time of revision) a marketing representative training program which shall include:
i. A training curriculum including:
1. A full review of the MCOPMCP’s solicitation brochure, provider directory, and all other marketing materials including all video, electronic, and print.
2. An overview of the applicable public assistance benefits designed to familiarize and impart a working knowledge of these programs.
3. The MCOPMCP’s process for providing sign language, oral interpretation, and oral translation services to an eligible individual to whom a marketing presentation is being made, including a review of the MCOPMCP’s written marketing materials.
4. Instruction on acceptable marketing tactics, including a requirement that the marketing representatives may not discriminate on the basis of age, gender, gender identity, sexual orientation, disability, race, color, religion, national origin, military status, genetic information, ancestry, health status, or the need for health services.
5. An overview of the ramifications to the MCOP MCP and the marketing representatives if ODM rules are violated.
6. Review of the MCOPMCP’s code of conduct or ethics.
ii. Methods that the MCOP MCP will utilize to determine initial and ongoing competency with the training curriculum.
e. Any MCOP MCP staff person providing MCOP MCP information or making marketing presentations to an eligible individual shall:
i. Visibly wear an identification tag and offer a business card when speaking to an eligible individual and provide information which ensures that the staff person is not mistaken for an Ohio Medicaid Consumer Hotline, federal, state state, or county employee.
ii. Inform eligible individuals that the following MCOP MCP information or services are available and how to access the information or services:
1. Sign language, oral interpretation, and oral translation services at no cost to the member.
2. Written information in the prevalent non-English languages of eligible individuals or members residing in the MCOPMCP’s service area.
3. Written information in alternative formats.
iii. Not discriminate on the basis of age, gender, gender identity, sexual orientation, race, color, religion, national origin, military status, ancestry, disability, genetic information, health status, or the need for health services.
iv. Not ask eligible individuals questions related to health status or the need for health services.
f. Only ODM approved MCOP MCP marketing representatives may make a marketing presentation upon request by the eligible individual or in any way advise or recommend to an eligible individual that he or she select MCOP MCP membership in a particular MCOPMCP. As provided in ORC Chapter 1751. 1751 and Section ORC section 3905.01, all non-licensed agents, including providers, are prohibited from advising or recommending to an eligible individual that he or she select MCOP MCP membership in a particular MCOP MCP as this would constitute the unlicensed practice of marketing.
g. MCOP MCP informational displays do not require the presence of a marketing representative if no marketing presentation will be made.
Appears in 6 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
Marketing Representatives and Training. An MCOP MCP that utilizes marketing representatives for marketing presentations requested by eligible individuals shall must comply with the following:
a. All marketing representatives shall must be employees of the MCOPMCP. A copy of the representative’s job description shall must be submitted to ODM.
b. No more than 50% of each marketing representative’s total annual compensation, including salary, benefits, benefits and bonuses may be paid on a commission basis. For the purpose of this rule, any performance-based compensation would be considered a form of commission. Upon ODM request, the MCOP shall MCP must make available for inspection, the compensation packages of marketing representatives.
c. Marketing representatives shall must be trained and duly licensed by the Ohio Department of Insurance to perform such activities.
d. The MCOP shall MCP must develop and submit to ODM for prior approval (at initial development and at the time of revision) a marketing representative training program which shall must include:
i. A training curriculum including:
1. A full review of the MCOPMCP’s solicitation brochure, provider directory, directory and all other marketing materials including all video, electronic, electronic and print.
2. An overview of the applicable public assistance benefits benefits, designed to familiarize and impart a working knowledge of these programs.
3. The MCOPMCP’s process for providing sign language, oral interpretation, interpretation and oral translation services to an eligible individual to whom a marketing presentation is being made, including a review of the MCOPMCP’s written marketing materials.
4. Instruction on acceptable marketing tactics, including a requirement that the marketing representatives may not discriminate on the basis of age, gender, gender identity, sexual orientation, disability, race, color, religion, national origin, military status, genetic information, ancestry, health status, or the need for health services.
5. An overview of the ramifications to the MCOP MCP and the marketing representatives if ODM rules are violated.
6. Review of the MCOPMCP’s code of conduct or ethics.
ii. Methods that the MCOP MCP will utilize to determine initial and ongoing competency with the training curriculum.
e. Any MCOP MCP staff person providing MCOP MCP information or making marketing presentations to an eligible individual shallmust:
i. Visibly wear an identification tag and offer a business card when speaking to an eligible individual and provide information which ensures that the staff person is not mistaken for an Ohio Medicaid Consumer Hotline, federal, state or county employee.
ii. Inform eligible individuals that the following MCOP MCP information or services are available and how to access the information or services:
1. Sign language, oral interpretation, and oral translation services at no cost to the member.
2. Written information in the prevalent non-English languages of eligible individuals or members residing in the MCOPMCP’s service area.
3. Written information in alternative formats.
iii. Not discriminate on the basis of age, gender, gender identity, sexual orientation, race, color, religion, national origin, military status, ancestry, disability, genetic information, health status, or the need for health services.
iv. Not ask eligible individuals questions related to health status or the need for health services.
f. Only ODM approved MCOP MCP marketing representatives may make a marketing presentation upon request by the eligible individual or in any way advise or recommend to an eligible individual that he or she select MCOP MCP membership in a particular MCOPMCP. As provided in ORC Chapter 1751. and Section 3905.01, all non-licensed agents, including providers, are prohibited from advising or recommending to an eligible individual that he or she select MCOP MCP membership in a particular MCOP MCP as this would constitute the unlicensed practice of marketing.
g. MCOP MCP informational displays do not require the presence of a marketing representative if no marketing presentation will be made.
Appears in 1 contract
Samples: Provider Agreement
Marketing Representatives and Training. An MCOP MCP that utilizes marketing representatives for marketing presentations requested by eligible individuals shall comply with the following:
a. All marketing representatives shall be employees of the MCOPMCP. A copy of the representative’s job description shall be submitted to ODM.
b. No more than 50% of each marketing representative’s total annual compensation, including salary, benefits, and bonuses may be paid on a commission basis. For the purpose of this rule, any performance-based compensation would be considered a form of commission. Upon ODM request, the MCOP MCP shall make available for inspection, the compensation packages of marketing representatives.
c. Marketing representatives shall be trained and duly licensed by the Ohio Department of Insurance to perform such activities.
d. The MCOP MCP shall develop and submit to ODM for prior approval (at initial development and at the time of revision) a marketing representative training program which shall include:
i. A training curriculum including:
1. A full review of the MCOPMCP’s solicitation brochure, provider directory, and all other marketing materials including all video, electronic, and print.
2. An overview of the applicable public assistance benefits designed to familiarize and impart a working knowledge of these programs.
3. The MCOPMCP’s process for providing sign language, oral interpretation, and oral translation services to an eligible individual to whom a marketing presentation is being made, including a review of the MCOPMCP’s written marketing materials.
4. Instruction on acceptable marketing tactics, including a requirement that the marketing representatives may not discriminate on the basis of age, gender, gender identity, sexual orientation, disability, race, color, religion, national origin, military status, genetic information, ancestry, health status, or the need for health services.
5. An overview of the ramifications to the MCOP MCP and the marketing representatives if ODM rules are violated.
6. Review of the MCOPMCP’s code of conduct or ethics.
ii. Methods that the MCOP MCP will utilize to determine initial and ongoing competency with the training curriculum.
e. Any MCOP MCP staff person providing MCOP MCP information or making marketing presentations to an eligible individual shall:
i. Visibly wear an identification tag and offer a business card when speaking to an eligible individual and provide information which ensures that the staff person is not mistaken for an Ohio Medicaid Consumer Hotline, federal, state or county employee.
ii. Inform eligible individuals that the following MCOP MCP information or services are available and how to access the information or services:
1. Sign language, oral interpretation, and oral translation services at no cost to the member.
2. Written information in the prevalent non-English languages of eligible individuals or members residing in the MCOPMCP’s service area.
3. Written information in alternative formats.
iii. Not discriminate on the basis of age, gender, gender identity, sexual orientation, race, color, religion, national origin, military status, ancestry, disability, genetic information, health status, or the need for health services.
iv. Not ask eligible individuals questions related to health status or the need for health services.
f. Only ODM approved MCOP MCP marketing representatives may make a marketing presentation upon request by the eligible individual or in any way advise or recommend to an eligible individual that he or she select MCOP MCP membership in a particular MCOPMCP. As provided in ORC Chapter 1751. 1751 and Section ORC section 3905.01, all non-licensed agents, including providers, are prohibited from advising or recommending to an eligible individual that he or she select MCOP MCP membership in a particular MCOP MCP as this would constitute the unlicensed practice of marketing.
g. MCOP MCP informational displays do not require the presence of a marketing representative if no marketing presentation will be made.
Appears in 1 contract
Samples: Provider Agreement
Marketing Representatives and Training. An MCOP that utilizes marketing representatives for marketing presentations requested by eligible individuals shall comply with the following:
a. All marketing representatives shall be employees of the MCOP. A copy of the representative’s job description shall be submitted to ODM.
b. No more than 50% of each marketing representative’s total annual compensation, including salary, benefits, benefits and bonuses may be paid on a commission basis. For the purpose of this rule, any performance-based performance‐based compensation would be considered a form of commission. Upon ODM request, the MCOP shall make available for inspection, the compensation packages of marketing representatives.
c. Marketing representatives shall be trained and duly licensed by the Ohio Department of Insurance to perform such activities.
d. The MCOP shall develop and submit to ODM for prior approval (at initial development and at the time of revision) a marketing representative training program which shall include:
i. A training curriculum including:
1. A full review of the MCOP’s solicitation brochure, provider directory, directory and all other marketing materials including all video, electronic, electronic and print.
2. An overview of the applicable public assistance benefits benefits, designed to familiarize and impart a working knowledge of these programs.
3. The MCOP’s process for providing sign language, oral interpretation, interpretation and oral translation services to an eligible individual to whom a marketing presentation is being made, including a review of the MCOP’s written marketing materials.
4. Instruction on acceptable marketing tactics, including a requirement that the marketing representatives may not discriminate on the basis of age, gender, gender identity, sexual orientation, disability, race, color, religion, national origin, military status, genetic information, ancestry, health status, or the need for health services.
5. An overview of the ramifications to the MCOP and the marketing representatives if ODM rules are violated.
6. Review of the MCOP’s code of conduct or ethics.
ii. Methods that the MCOP will utilize to determine initial and ongoing competency with the training curriculum.
e. Any MCOP staff person providing MCOP information or making marketing presentations to an eligible individual shall:
i. Visibly wear an identification tag and offer a business card when speaking to an eligible individual and provide information which ensures the staff person is not mistaken for an Ohio Medicaid Consumer Hotline, federal, state or county employee.
ii. Inform eligible individuals the following MCOP information or services are available and how to access the information or services:
1. Sign language, oral interpretation, and oral translation services at no cost to the member.
2. Written information in the prevalent non-English non‐English languages of eligible individuals or members residing in the MCOP’s service area.
3. Written information in alternative formats.
iii. Not discriminate on the basis of age, gender, gender identity, sexual orientation, race, color, religion, national origin, military status, ancestry, disability, genetic information, health status, or the need for health services.
iv. Not ask eligible individuals questions related to health status or the need for health services.
f. Only ODM approved MCOP marketing representatives may make a marketing presentation upon request by the eligible individual or in any way advise or recommend to an eligible individual that he or she select MCOP membership in a particular MCOP. As provided in ORC Chapter 1751. and Section 3905.01, all non-licensed non‐licensed agents, including providers, are prohibited from advising or recommending to an eligible individual that he or she select MCOP membership in a particular MCOP as this would constitute the unlicensed practice of marketing.
g. MCOP informational displays do not require the presence of a marketing representative if no marketing presentation will be made.
Appears in 1 contract
Samples: Provider Agreement
Marketing Representatives and Training. An MCOP that utilizes marketing representatives for marketing presentations requested by eligible individuals shall must comply with the following:
a. All marketing representatives shall must be employees of the MCOP. A copy of the representative’s job description shall must be submitted to ODM.
b. No more than 50% of each marketing representative’s total annual compensation, including salary, benefits, benefits and bonuses may be paid on a commission basis. For the purpose of this rule, any performance-based compensation would be considered a form of commission. Upon ODM request, the MCOP shall must make available for inspection, the compensation packages of marketing representatives.
c. Marketing representatives shall must be trained and duly licensed by the Ohio Department of Insurance to perform such activities.
d. The MCOP shall must develop and submit to ODM for prior approval (at initial development and at the time of revision) a marketing representative training program which shall must include:
i. A training curriculum including:
1. A full review of the MCOP’s solicitation brochure, provider directory, directory and all other marketing materials including all video, electronic, electronic and print.
2. An overview of the applicable public assistance benefits benefits, designed to familiarize and impart a working knowledge of these programs.
3. The MCOP’s process for providing sign language, oral interpretation, interpretation and oral translation services to an eligible individual to whom a marketing presentation is being made, including a review of the MCOP’s written marketing materials.
4. Instruction on acceptable marketing tactics, including a requirement that the marketing representatives may not discriminate on the basis of age, gender, gender identity, sexual orientation, disability, race, color, religion, national origin, military status, genetic information, ancestry, health status, or the need for health services.
5. An overview of the ramifications to the MCOP and the marketing representatives if ODM rules are violated.
6. Review of the MCOP’s code of conduct or ethics.
ii. Methods that the MCOP will utilize to determine initial and ongoing competency with the training curriculum.
e. Any MCOP staff person providing MCOP information or making marketing presentations to an eligible individual shallmust:
i. Visibly wear an identification tag and offer a business card when speaking to an eligible individual and provide information which ensures that the staff person is not mistaken for an Ohio Medicaid Consumer Hotline, federal, state or county employee.
ii. Inform eligible individuals that the following MCOP information or services are available and how to access the information or services:
1. Sign language, oral interpretation, and oral translation services at no cost to the member.
2. Written information in the prevalent non-English languages of eligible individuals or members residing in the MCOP’s service area.
3. Written information in alternative formats.
iii. Not discriminate on the basis of age, gender, gender identity, sexual orientation, race, color, religion, national origin, military status, ancestry, disability, genetic information, health status, or the need for health services.
iv. Not ask eligible individuals questions related to health status or the need for health services.
f. Only ODM approved MCOP marketing representatives may make a marketing presentation upon request by the eligible individual or in any way advise or recommend to an eligible individual that he or she select MCOP membership in a particular MCOP. As provided in ORC Chapter 1751. and Section 3905.01, all non-licensed agents, including providers, are prohibited from advising or recommending to an eligible individual that he or she select MCOP membership in a particular MCOP as this would constitute the unlicensed practice of marketing.
g. MCOP informational displays do not require the presence of a marketing representative if no marketing presentation will be made.
Appears in 1 contract
Samples: Provider Agreement
Marketing Representatives and Training. An MCOP that utilizes marketing representatives for marketing presentations requested by eligible individuals shall must comply with the following:
a. All marketing representatives shall must be employees of the MCOP. A copy of the representative’s job description shall must be submitted to ODM.
b. No more than 50% of each marketing representative’s total annual compensation, including salary, benefits, benefits and bonuses may be paid on a commission basis. For the purpose of this rule, any performance-based performance‐based compensation would be considered a form of commission. Upon ODM request, the MCOP shall must make available for inspection, the compensation packages of marketing representatives.
c. Marketing representatives shall must be trained and duly licensed by the Ohio Department of Insurance to perform such activities.
d. The MCOP shall must develop and submit to ODM for prior approval (at initial development and at the time of revision) a marketing representative training program which shall must include:
i. A training curriculum including:
1. A full review of the MCOP’s solicitation brochure, provider directory, directory and all other marketing materials including all video, electronic, electronic and print.
2. An overview of the applicable public assistance benefits benefits, designed to familiarize and impart a working knowledge of these programs.
3. The MCOP’s process for providing sign language, oral interpretation, interpretation and oral translation services to an eligible individual to whom a marketing presentation is being made, including a review of the MCOP’s written marketing materials.
4. Instruction on acceptable marketing tactics, including a requirement that the marketing representatives may not discriminate on the basis of age, gender, gender identity, sexual orientation, disability, race, color, religion, national origin, military status, genetic information, ancestry, health status, or the need for health services.
5. An overview of the ramifications to the MCOP and the marketing representatives if ODM rules are violated.
6. Review of the MCOP’s code of conduct or ethics.
ii. Methods that the MCOP will utilize to determine initial and ongoing competency with the training curriculum.
e. Any MCOP staff person providing MCOP information or making marketing presentations to an eligible individual shallmust:
i. Visibly wear an identification tag and offer a business card when speaking to an eligible individual and provide information which ensures that the staff person is not mistaken for an Ohio Medicaid Consumer Hotline, federal, state or county employee.
ii. Inform eligible individuals that the following MCOP information or services are available and how to access the information or services:
1. Sign language, oral interpretation, and oral translation services at no cost to the member.
2. Written information in the prevalent non-English non‐English languages of eligible individuals or members residing in the MCOP’s service area.
3. Written information in alternative formats.
iii. Not discriminate on the basis of age, gender, gender identity, sexual orientation, race, color, religion, national origin, military status, ancestry, disability, genetic information, health status, or the need for health services.
iv. Not ask eligible individuals questions related to health status or the need for health services.
f. Only ODM approved MCOP marketing representatives may make a marketing presentation upon request by the eligible individual or in any way advise or recommend to an eligible individual that he or she select MCOP membership in a particular MCOP. As provided in ORC Chapter 1751. and Section 3905.01, all non-licensed non‐licensed agents, including providers, are prohibited from advising or recommending to an eligible individual that he or she select MCOP membership in a particular MCOP as this would constitute the unlicensed practice of marketing.
g. MCOP informational displays do not require the presence of a marketing representative if no marketing presentation will be made.
Appears in 1 contract
Samples: Provider Agreement
Marketing Representatives and Training. An MCOP that utilizes marketing representatives for marketing presentations requested by eligible individuals shall comply with the following:
a. All marketing representatives shall be employees of the MCOP. A copy of the representative’s job description shall be submitted to ODM.
b. No more than 50% of each marketing representative’s total annual compensation, including salary, benefits, benefits and bonuses may be paid on a commission basis. For the purpose of this rule, any performance-based compensation would be considered a form of commission. Upon ODM request, the MCOP shall make available for inspection, the compensation packages of marketing representatives.
c. Marketing representatives shall be trained and duly licensed by the Ohio Department of Insurance to perform such activities.
d. The MCOP shall develop and submit to ODM for prior approval (at initial development and at the time of revision) a marketing representative training program which shall include:
i. A training curriculum including:
1. A full review of the MCOP’s solicitation brochure, provider directory, directory and all other marketing materials including all video, electronic, electronic and print.
2. An overview of the applicable public assistance benefits benefits, designed to familiarize and impart a working knowledge of these programs.
3. The MCOP’s process for providing sign language, oral interpretation, interpretation and oral translation services to an eligible individual to whom a marketing presentation is being made, including a review of the MCOP’s written marketing materials.
4. Instruction on acceptable marketing tactics, including a requirement that the marketing representatives may not discriminate on the basis of age, gender, gender identity, sexual orientation, disability, race, color, religion, national origin, military status, genetic information, ancestry, health status, or the need for health services.
5. An overview of the ramifications to the MCOP and the marketing representatives if ODM rules are violated.
6. Review of the MCOP’s code of conduct or ethics.
ii. Methods that the MCOP will utilize to determine initial and ongoing competency with the training curriculum.
e. Any MCOP staff person providing MCOP information or making marketing presentations to an eligible individual shall:
i. Visibly wear an identification tag and offer a business card when speaking to an eligible individual and provide information which ensures the staff person is not mistaken for an Ohio Medicaid Consumer Hotline, federal, state or county employee.
ii. Inform eligible individuals the following MCOP information or services are available and how to access the information or services:
1. Sign language, oral interpretation, and oral translation services at no cost to the member.
2. Written information in the prevalent non-English languages of eligible individuals or members residing in the MCOP’s service area.
3. Written information in alternative formats.
iii. Not discriminate on the basis of age, gender, gender identity, sexual orientation, race, color, religion, national origin, military status, ancestry, disability, genetic information, health status, or the need for health services.
iv. Not ask eligible individuals questions related to health status or the need for health services.
f. Only ODM approved MCOP marketing representatives may make a marketing presentation upon request by the eligible individual or in any way advise or recommend to an eligible individual that he or she select MCOP membership in a particular MCOP. As provided in ORC Chapter 1751. and Section 3905.01, all non-licensed agents, including providers, are prohibited from advising or recommending to an eligible individual that he or she select MCOP membership in a particular MCOP as this would constitute the unlicensed practice of marketing.
g. MCOP informational displays do not require the presence of a marketing representative if no marketing presentation will be made.
Appears in 1 contract
Samples: Provider Agreement
Marketing Representatives and Training. An MCOP MCP that utilizes marketing representatives for marketing presentations requested by eligible individuals shall comply with the following:
a. All marketing representatives shall be employees of the MCOPMCP. A copy of the representative’s job description shall be submitted to ODM.
b. No more than 50% of each marketing representative’s total annual compensation, including salary, benefits, benefits and bonuses may be paid on a commission basis. For the purpose of this rule, any performance-based compensation would be considered a form of commission. Upon ODM request, the MCOP MCP shall make available for inspection, the compensation packages of marketing representatives.
c. Marketing representatives shall be trained and duly licensed by the Ohio Department of Insurance to perform such activities.
d. The MCOP MCP shall develop and submit to ODM for prior approval (at initial development and at the time of revision) a marketing representative training program which shall include:
i. A training curriculum including:
1. A full review of the MCOPMCP’s solicitation brochure, provider directory, directory and all other marketing materials including all video, electronic, electronic and print.
2. An overview of the applicable public assistance benefits benefits, designed to familiarize and impart a working knowledge of these programs.
3. The MCOPMCP’s process for providing sign language, oral interpretation, interpretation and oral translation services to an eligible individual to whom a marketing presentation is being made, including a review of the MCOPMCP’s written marketing materials.
4. Instruction on acceptable marketing tactics, including a requirement that the marketing representatives may not discriminate on the basis of age, gender, gender identity, sexual orientation, disability, race, color, religion, national origin, military status, genetic information, ancestry, health status, or the need for health services.
5. An overview of the ramifications to the MCOP MCP and the marketing representatives if ODM rules are violated.
6. Review of the MCOPMCP’s code of conduct or ethics.
ii. Methods that the MCOP MCP will utilize to determine initial and ongoing competency with the training curriculum.
e. Any MCOP MCP staff person providing MCOP MCP information or making marketing presentations to an eligible individual shall:
i. Visibly wear an identification tag and offer a business card when speaking to an eligible individual and provide information which ensures that the staff person is not mistaken for an Ohio Medicaid Consumer Hotline, federal, state or county employee.
ii. Inform eligible individuals that the following MCOP MCP information or services are available and how to access the information or services:
1. Sign language, oral interpretation, and oral translation services at no cost to the member.
2. Written information in the prevalent non-English languages of eligible individuals or members residing in the MCOPMCP’s service area.
3. Written information in alternative formats.
iii. Not discriminate on the basis of age, gender, gender identity, sexual orientation, race, color, religion, national origin, military status, ancestry, disability, genetic information, health status, or the need for health services.
iv. Not ask eligible individuals questions related to health status or the need for health services.
f. Only ODM approved MCOP MCP marketing representatives may make a marketing presentation upon request by the eligible individual or in any way advise or recommend to an eligible individual that he or she select MCOP MCP membership in a particular MCOPMCP. As provided in ORC Chapter 1751. 1751 and Section ORC section 3905.01, all non-licensed agents, including providers, are prohibited from advising or recommending to an eligible individual that he or she select MCOP MCP membership in a particular MCOP MCP as this would constitute the unlicensed practice of marketing.
g. MCOP MCP informational displays do not require the presence of a marketing representative if no marketing presentation will be made.
Appears in 1 contract
Samples: Provider Agreement
Marketing Representatives and Training. An MCOP MCP that utilizes marketing representatives for marketing presentations requested by eligible individuals shall comply with the following:
a. All marketing representatives shall be employees of the MCOPMCP. A copy of the representative’s job description shall be submitted to ODM.
b. No more than 50% of each marketing representative’s total annual compensation, including salary, benefits, and bonuses may be paid on a commission basis. For the purpose of this rule, any performance-based compensation would be considered a form of commission. Upon ODM request, the MCOP MCP shall make available for inspection, the compensation packages of marketing representatives.
c. Marketing representatives shall be trained and duly licensed by the Ohio Department of Insurance to perform such activities.
d. The MCOP MCP shall develop and submit to ODM for prior approval (at initial development and at the time of revision) a marketing representative training program which shall include:
i. A training curriculum including:
1. A full review of the MCOPMCP’s solicitation brochure, provider directory, and all other marketing materials including all video, electronic, and print.
2. An overview of the applicable public assistance benefits designed to familiarize and impart a working knowledge of these programs.
3. The MCOPMCP’s process for providing sign language, oral interpretation, and oral translation services to an eligible individual to whom a marketing presentation is being made, including a review of the MCOPMCP’s written marketing materials.
4. Instruction on acceptable marketing tactics, including a requirement that the marketing representatives may not discriminate on the basis of age, gender, gender identity, sexual orientation, disability, race, color, religion, national origin, military status, genetic information, ancestry, health status, or the need for health services.
5. An overview of the ramifications to the MCOP MCP and the marketing representatives if ODM rules are violated.
6. Review of the MCOPMCP’s code of conduct or ethics.
ii. Methods that the MCOP MCP will utilize to determine initial and ongoing competency with the training curriculum.
e. Any MCOP MCP staff person providing MCOP MCP information or making marketing presentations to an eligible individual shall:
i. Visibly wear an identification tag and offer a business card when speaking to an eligible individual and provide information which ensures that the staff person is not mistaken for an Ohio Medicaid Consumer Hotline, federal, state state, or county employee.
ii. Inform eligible individuals that the following MCOP MCP information or services are available and how to access the information or services:
1. Sign language, oral interpretation, and oral translation services at no cost to the member.
2. Written information in the prevalent non-English languages of eligible individuals or members residing in the MCOPMCP’s service area.
3. Written information in alternative formats.
iii. Not discriminate on the basis of age, gender, gender identity, sexual orientation, race, color, religion, national origin, military status, ancestry, disability, genetic information, health status, or the need for health services.
iv. Not ask eligible individuals questions related to health status or the need for health services.
f. Only ODM approved MCOP MCP marketing representatives may make a marketing presentation upon request by the eligible individual or in any way advise or recommend to an eligible individual that he or she select MCOP MCP membership in a particular MCOPMCP. As provided in ORC Chapter 1751. 1751 and Section ORC section 3905.01, all non-licensed agents, including providers, are prohibited from advising or recommending to an eligible individual that he or she select MCOP membership in a particular MCOP as this would constitute the unlicensed practice of marketing.
g. MCOP informational displays do not require the presence of a marketing representative if no marketing presentation will be made.from
Appears in 1 contract
Samples: Provider Agreement