Don’t Forget About CMS Call Recording Requirements
On Oct. 1, 2022 a new CMS rule went into effect requiring Third Party Marketing Organization agents to record their sales calls, based on guidelines set forth in the Center for Medicare and Medicaid Service’s 2023 Final Rule.
The new rule is in effect for all calls considered to be “chain of enrollment” calls – in other words, service calls related to a beneficiary’s current plan would not need to be recorded.
Agents may choose a call recording and storage service that best suits their needs. Many quoting and enrollment platforms have added call recording and retrieval capabilities and there are a variety of mobile phone-based apps that also offer these features.
Here are the high points and some clarification regarding this new requirement:
Face-to-face appointments and Zoom or Webex calls using video functionality do not have to be recorded. If video will not be used, the call should be conducted by phone using a compliant call recording service.
Calls must be stored in a compliant manner for 10 years, and you must be able to provide recordings related to specific beneficiary interactions upon request.
If the prospect or plan member asks why you have to read the disclaimers and record the call, a best practice is to simply tell them that this is a new CMS requirement of all plan carriers and agents.
If the prospect or plan member does not want to be recorded, you should stop the recording but you may continue the call.
If you have any questions, give Samaritan’s broker support team a call at 866-747-5267 or email us at MedicarePlan@samhealth.org .