CMS Call Recording Requirements

CMS Call Recording Requirements and Your Options as an Agent

The new CMS call recording requirements for 2022/2023 sent ripples through the Medicare world. Agents immediately started researching the logistics and technology needed, as well as the requirements for when recordings should be taken and how long they need to be retained.

We jumped into action, as well, finding multiple options that will allow our agents to record calls in accordance with CMS requirements. We’ve been holding webinars, arranging demos, and compiling FAQ. The result? Your one-stop resource for CMS call recording requirements and technology.

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Call Recording Technology Options

Learn about compliant, cost-effective methods for recording calls and how NCC can help you get started.

Compliance & Technology: Recorded Webinars

View recorded webinars about the CMS call recording rule featuring technology experts and NCC's compliance officer.

CMS Call Recording Compliance FAQs & Carrier Requirements

Read frequently asked questions related to the new rule and compliance, and see carrier-specific guidelines.

Meet CMS Call Recording Requirements with NCC's Solutions

National Contracting Center’s compliance department recommends you utilize two solutions to cover your bases for the new CMS ruling.  

Why do we recommend two solutions?

Americomm offers an affordable, easy, on-the-go solution for busy agents.  Record calls directly from your mobile phone so you have freedom to do business everywhere.  Enrollment Central is an office friendly solution, agents must be logged in and connected to internet to access.  

Americomm is your mobile solution; Enrollment Central is your enrollment solution.  NCC recommends you utilize both.

 

Americomm Call Recording Solution

Americomm: Your Mobile Solution

National Contracting Center is partnering with Americomm to bring technology solutions to your business. As one of the nation’s premier brokerages, Americomm provides resources and carrier solutions needed to service the ever-changing needs of businesses across the US.

  • General Monthly Cost: $15 – $30 per line/per month
  • One Time Start-Up Cost: $200/line
  • Contract Required
  • Recommendations are NCC approved
  • Includes VOIP and storage

Enrollment Central 2.0: Your Enrollment Solution

Enrollment Central 2.0 is NCC’s online Medicare quoting and enrollment platform for MA/MAPD/PDP business.  With a single tool, you can send electronic SOAs, quote plans, submit enrollments, and store drug lists. In addition, Enrollment Central 2.0 offers call recording capabilities.

  • No cost to the agent
  • Records inbound/outbound calls
  • Not a remote solution
  • To record, you must be logged in to Enrollment Central 2.0
  • Includes storage for 10 years, per CMS regulations

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To assist our agent and agency partners comply with CMS telephonic recording requirements under 42 CFR §422.2274 (g)(2)(ii), NCC can refer you to a technology vendor who specializes in telephonic call recordings and record retention of those recorded calls. As a reminder, CMS rules require that all telephonic calls related to a sales, marketing or enrollment activity must be recorded and retained for the minimum period. This includes calls conduced via Zoom, Facetime, Skype, or other technology-based platforms.

 

Any referral NCC makes relative to a technology solution is solely limited to that function. You are ultimately responsible for assessing the technology vendor’s performance as it relates to your business needs, including but not limited to reviewing the contractual terms that is entered between you and the technology vendor, any costs, early terminations, financial penalties and other business considerations. NCC makes no warranty as to the technology vendor’s performance, compliance, contractual obligations or any other aspect.

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Webinar: Call Recording This AEP

Concerned about that new CMS final rule on call recording? We hear you and we’re here to help. Join the NCC team, including our Head of Compliance, as we’re joined by tech guru Courtney Anderson of Americomm. Learn about NCC’s recommended call recording solution for this upcoming AEP and have your compliance and technology questions answered by our experts.

You must be logged in to nccagent.com to view videos.

Webinar: Call Recording with Enrollment Central 2.0

Join the NCC team as they roll out the new call recording features for the Enrollment Central Platform and NCC’s Compliance Officer answers last-minute questions before AEP.

CMS Call Recording Requirements: FAQs

Find answers to your general questions about CMS call recording requirements below, or download call recording technology faqs.

Carrier Compliance Guidelines

Insurance carriers are the responsible party for enforcing CMS rules.  If you offer multiple plans, check your carrier’s requirements before you write the plan.  Whatever carrier you write a policy with, you must abide by that carrier compliance guidelines.  For direction, please see the link below.  

NCC Compliance Guidelines

Our compliance department at NCC works hard to translate complicated CMS rulings into comprehensive, easy to understand language.  Check out our downloads below for more information.  

CMS Call Recording FAQ

On October 19, 2022, CMS released a new FAQ document for call recording requirements. You can download the pdf below.

Commonly Asked Questions

The rule is in place for 2022/2023, so you should begin recording calls as you do business on October 1, 2022 and beyond.

HIPAA compliance requires that you retain recorded calls for 10 years.

The rule applies to all calls, both voice and video, that fall within the “chain of enrollment” as defined by CMS. The chain of enrollment begins when you first make a beneficiary aware of an MA or PDP plan and ends when you submit an application on behalf of the client.

While the chain of enrollment does not specifically apply to Medicare Supplements, if you are selling that Med Supplements in conjunction with a PDP, you will need to record those calls.

Each Medicare carrier will provide their own compliance translation of the CMS ruling.  NCC recommends you refer to and comply with that carrier’s translation when enrolling a beneficiary into that carrier’s plan.  

No. However, any follow-up phone calls with the client to discuss specifics and answer questions would need to be recorded.

Yes, a disclaimer must be read within the first minute of the call. This is both good business and required by law in many states.

In the same memo in which CMS announced the call recording rule, they also introduced a disclaimer that must be conveyed in all marketing interactions. That includes email and chat conversations with clients, printed marketing materials, agent websites, and yes, sales calls. Within the first minute of the call, you must give the following disclaimer:

“We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all your options.”

If you choose your own solution, you must abide by the following basic guidelines:

  • HIPAA compliant
  • Recording for inbound/outbound calls
  • Accessible 10-year data storage

Need More Info on CMS Call Recording Requirements and Available Solutions?

We understand that these new requirements may feel like a burden, and we’re here to help. Give us a call at 800-695-0280, and one of our Specialists will help you ensure you’re ready to sell compliantly this AEP.

WellCare Producer Certification Requirements for 2023

  • Details refer to certification for WellCare. AHIP certification must be completed separately.
  • WellCare’s certification for 2023 launches on Tuesday, July 12, 2022.
  • Passing AHIP does not reduce the number of WellCare test modules.
  • Passing score is 85%.
  • 3 attempts.

WellCare Certification Links, Guides, Phone Numbers, Emails

WellCare Producer Certification Requirements for 2023

  • Details refer to certification for WellCare. AHIP certification must be completed separately.
  • WellCare’s certification for 2023 launches on Tuesday, July 12, 2022.
  • Passing AHIP does not reduce the number of WellCare test modules.
  • Passing score is 85%.
  • 3 attempts.

WellCare Certification Links, Guides, Phone Numbers, Emails

SilverScript Producer Certification Requirements for 2023

  • Details refer to certification for SilverScript. AHIP certification must be completed separately.
  • SilverScript certification for 2022 launches on Wednesday, June 29, 2022.
  • New option in 2022: No cost certification for agents who want to sell only Aetna MA/MAPD or SilverScript PDP products, exclusively.
    This new option allows you to bypass the AHIP Medicare training component and complete an alternative Aetna/SilverScript-only training instead, along with several Aetna-specific training courses (available in English and Spanish). 
  • Agents must do 3 things to be ready to sell SilverScript:
    Step #1: Contract with Aetna. This is a requirement to be eligible for commissions on plans with effective dates of 1/1/2023 and later. (Note: If you’re already contracted for Aetna MA/MAPD, you can skip this step, as there’s no additional action you need to take with your contract.)
    Step #2: Complete 2023 certification.
    Step #3: Receive a ready-to-sell notice
  • There are separate certification processes for Aetna MA/MAPD and SilverScript PDP. Completing 2023 Aetna certification does not satisfy the certification requirement for SilverScript.
  • 2023 Certs will NOT cover the remainder of 2022.
  • TAKE AHIP FIRST! If you pass AHIP first you can skip 2 of the 3 SilverScript test modules. 
  • There’s a link on Agent Portal to transmit their AHIP send scores. 
  • In Pinpoint, the direct scores to be sent upon registration for the test, Gorman, agents can use Silver Mail to upload the cert.
  • Passing score is 90%.
  • SilverScript allows 3 attempts.

SilverScript Certification Links, Guides, Phone Numbers, Emails

SilverScript Producer Certification Requirements for 2023

  • Details refer to certification for SilverScript. AHIP certification must be completed separately.
  • SilverScript certification for 2023 launches on Wednesday, June 29, 2022.
  • Agents must do 3 things to be ready to sell SilverScript:
    Step #1: Contract with Aetna. This is a requirement to be eligible for commissions on plans with effective dates of 1/1/2023 and later. (Note: If you’re already contracted for Aetna MA/MAPD, you can skip this step, as there’s no additional action you need to take with your contract.)
    Step #2: Complete 2023 certification.
    Step #3: Receive a ready-to-sell notice
  • There are separate certification processes for Aetna MA/MAPD and SilverScript PDP. Completing 2023 Aetna certification does not satisfy the certification requirement for SilverScript.
  • 2023 Certs will NOT cover the remainder of 2022.
  • TAKE AHIP FIRST! If you pass AHIP first you can skip 2 of the 3 SilverScript test modules. 
  • There’s a link on Agent Portal to transmit their AHIP send scores. 
  • In Pinpoint, the direct scores to be sent upon registration for the test, Gorman, agents can use Silver Mail to upload the cert.
  • Passing score is 90%.
  • SilverScript allows 3 attempts.

SilverScript Certification Links, Guides, Phone Numbers, Emails

Shared Health of MS Producer Certification Requirements for 2023

  • Details refer to certification for Shared Health of MS. AHIP certification must be completed separately.
  • Shared Health of MS has not yet announced their 2023 certification launch date.
  • More information coming soon!

Shared Health of MS Producer Certification Requirements for 2023

  • Details refer to certification for Shared Health of MS. AHIP certification must be completed separately.
  • Shared Health of MS has not yet announced their 2023 certification launch date.
  • More information coming soon!

Devoted Health Certification Requirements for 2023

  • Details refer to certification for Devoted Health. AHIP certification must be completed separately.
  • Devoted Health certification for 2023 launches on Tuesday, June 21, 2022.

Devoted Health Certification Links, Guides, Contact Info

Devoted Health Certification Requirements for 2023

  • Details refer to certification for Devoted Health. AHIP certification must be completed separately.
  • Devoted Health certification for 2023 launches on Tuesday, June 21, 2022.

Devoted Health Certification Links, Guides, Contact Info

Humana Producer Certification Requirements for 2023

  • Details refer to certification for Humana. AHIP certification must be completed separately.
  • Humana certification for 2023 launches on Tuesday, June 29, 2022.
  • This year Humana will be accepting both AHIP and NAHU.
  • 2023 Certs will cover the remainder of 2022.
  • At the conclusion of Certification & Recertification this year, all agents will be certified to sell all Humana products!

Certification Links, Guides, Phone Numbers, Emails

Humana Producer Certification Requirements for 2023

  • Details refer to certification for Humana. AHIP certification must be completed separately.
  • Humana certification for 2023 launches on Tuesday, June 29, 2022.
  • This year Humana will be accepting both AHIP and NAHU.
  • 2021 Certs will cover the remainder of 2020.
  • At the conclusion of Certification & Recertification this year, all agents will be certified to sell all Humana products!

Certification Links, Guides, Phone Numbers, Emails

Cigna Medicare Producer Certification Requirements for 2023

  • Details refer to certification for Cigna Medicare. AHIP certification must be completed separately.
  • Cigna Medicare certification launches Friday, July 1, 2022.
  • AHIP, Gorman or Pinpoint is required prior to certification.
  • No modules alleviated by passing AHIP or Pinpoint.
  • Passing score is 85%. You have 3 attempts.
  • Fail any module 3 times, agent will have to call the HAAL agent assistance line – 866-442-7516.
  • Agencies must log in with the agency NPN to complete attestation.
  • Face-to-face training is not required but is recommended as a supplement – especially for new agents.
  • 2022 Certs will cover the remainder of 2021.

Cigna Medicare Certification Links, Guides, Phone Numbers, Emails

Cigna Medicare Producer Certification Requirements for 2023

  • Details refer to certification for Cigna Medicare. AHIP certification must be completed separately.
  • Cigna Medicare certification launches Friday, July 1, 2022.
  • AHIP, Gorman or Pinpoint is required prior to certification.
  • No modules alleviated by passing AHIP or Pinpoint.
  • Passing score is 85%. You have 3 attempts.
  • Fail any module 3 times, agent will have to call the HAAL agent assistance line – 866-442-7516.
  • Agencies must log in with the agency NPN to complete attestation.
  • Face-to-face training is not required but is recommended as a supplement – especially for new agents.
  • 2022 Certs will cover the remainder of 2021.

Cigna Medicare Certification Links, Guides, Phone Numbers, Emails

BlueCross BlueShield of TN Producer Certification Requirements for 2023

  • Details refer to certification for BlueCross BlueShield of TN. AHIP certification must be completed separately.
  • BlueCross BlueShield of TN’s 2023 certification launches on Tuesday, June 21, 2022.
  • More information coming soon!

BlueCross BlueShield of TN Producer Certification Requirements for 2023

  • Details refer to certification for BlueCross BlueShield of TN. AHIP certification must be completed separately.
  • BlueCross BlueShield of TN’s 2023 certification launches on Tuesday, June 21, 2022.
  • More information coming soon!

Amerigroup Producer Certification Requirements for 2023

  • Details refer to certification for Amerigroup. AHIP certification must be completed separately.
  • Passing score is 90%.
  • 3 attempts.
  • Certifying for 2023 allows the sale of 2022 products.

Amerigroup Certification Links, Guides, Phone Numbers, Emails

Amerigroup Producer Certification Requirements for 2023

  • Details refer to certification for Amerigroup. AHIP certification must be completed separately.
  • Passing score is 90%.
  • 3 attempts.
  • Certifying for 2023 allows the sale of 2022 products.

Amerigroup Certification Links, Guides, Phone Numbers, Emails

Aetna Producer Certification Requirements for 2023

  • Details refer to certification for Aetna. AHIP certification must be completed separately.
  • Aetna certification for 2023 launches on Wednesday, June 29, 2022.
  • New option in 2022: No cost certification for agents who want to sell only Aetna MA/MAPD or SilverScript PDP products, exclusively.
    This new option allows you to bypass the AHIP Medicare training component and complete an alternative Aetna/SilverScript-only training instead, along with several Aetna-specific training courses (available in English and Spanish). 
  • Passing AHIP does not reduce the number of Aetna test modules.
  • Passing score is 90% for Aetna courses and 90% for AHIP.
  • 3 attempts are allowed for Aetna courses and 90% for AHIP.
  • 2023 certs will cover the remainder of 2022.

Aetna Certification Links, Guides, Phone Numbers, Emails

Aetna Producer Certification Requirements for 2023

  • Details refer to certification for Aetna. AHIP certification must be completed separately.
  • Aetna certification for 2023 launches on Wednesday, June 29, 2022.
  • Passing AHIP does not reduce the number of Aetna test modules.
  • Passing score is 90% for Aetna courses and 90% for AHIP.
  • 3 attempts are allowed for Aetna courses and 90% for AHIP.
  • 2023 certs will cover the remainder of 2022.

Aetna Certification Links, Guides, Phone Numbers, Emails