- 487
Waiting Period of 48 hours between the Completion of the SOA and the Personal Marketing Appointment - At least 48 hours prior to the scheduled personal marketing, the MA plan (or agent or broker, as applicable) must agree upon and record the Scope of Appointment with the beneficiary(ies), except for: (A) SOAs that are completed during the last four days of a valid election period for the beneficiary. (B) Unscheduled in person meetings (walk-ins) initiated by the beneficiary. 42 CFR 422.2264 (c) (3) (i) Note: CMS has indicated that this 48-hour period is not required for inbound calls from enrollees. At this time, unless CMS provides further clarification, this requirement applies to outbound calls.
Of course, they conveniently cut call centers out of this requirement, and they are the worst offenders when it comes to generating complaints.
Where did you see this "note" about inbound calls not requiring the 48hr scope? I cant seem to find anything to confirm this. Id heard rumors, but nothing concrete.