Sample Scope of Appointment
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A Scope of Sales Appointment Confirmation Form documents which product or products a prospect has agreed to discuss with you. You must complete one of these forms for each sales call you conduct. This form (along with enrollment paperwork) must be turned in to the Health Plan or your FMO within 24 hours of the signature date. Click here to download a sample of a completed Scope of Appointment from. CMS requires the scope to be retained for 10 years even if the appointment does not result in a sale. |
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According to CMS there are 3 exceptions to the 48 hour waiting period.
1. Following a sales event.
70. 9.1 – Scope of Appointment (Rev. 96, Issued: – 5-17-11, Effective: 5-17-11, Implementation: 5-17-11)
A beneficiary may sign a scope of appointment form at a marketing/sales event for a future appointment. In these instances, the forty-eight (48) hour waiting period does not apply. For example, if a beneficiary attends a marketing presentation, and, after the presentation, requests an individual appointment, the sales person can arrange for that appointment to take place immediately following the sales presentation provided the beneficiary has completed the scope of appointment form.
2. Walk in.
70.9.2 – Beneficiary Walk-ins to a Plan or Agent/Broker Office or Similar Beneficiary-Initiated Face-to-Face Sales Event (Rev. 93, Issued: 06-04-10, Effective/Implementation: 06-04-10) 42 CFR 422.2268(g) and (h), 423.2268 (g) and (h)
In instances where a beneficiary visits a plan or an agent/broker office on his/her own accord, the plan sponsor or agent/broker should complete a scope of appointment form and secure the beneficiary’s signature prior to discussing MA, PDP, or cost plans. Plan sponsors and agents/brokers should note on the scope of appointment form that the beneficiary was a walk-in. In this instance, the forty-eight (48) hour waiting period does not apply.
3. Not feasible. This reason must be recorded by the Health Plan Scope Line.
70. 9.1 – Scope of Appointment (Rev. 96, Issued: – 5-17-11, Effective: 5-17-11, Implementation: 5-17-11)
If it is not feasible for the scope of appointment form to be executed prior to the appointment, an agent may have the beneficiary sign the form at the beginning of the marketing appointment. However, CMS expects plans to record and maintain documentation on why it was not feasible to obtain the scope of appointment prior to the appointment.
