2022 MAPD Broker Compensation announced!

2022 MAPD Broker Compensation announced!

View Communication from CMS: http://bit.ly/brokercommissionrates


We have also provided a copy of the content below for your convenience.


This memorandum provides contract year (CY) 2022 compensation and referral/finder's fee limits for agents and brokers, directions for submitting amounts into the Health Plan Management System (HPMS), as well as training and testing requirements.


Compensation Rates and Referral/Finder's Fees for CY 2022

As provided in 42 C.F.R. §§ 422.2274(d)(2) and 423.2274(d)(2) and 423.2274(d)(2), the compensation amount an organization pays to an independent agent or broker for an initial enrollment must be at or below the fair market value (FMV). 42 C.F.R. §§ 422.2274(d)(3) and 423.2274(d)(3) limit renewal compensation to a maximum of 50% of the FMV. 42 C.F.R. §§422.2274(f) and 423.2274(f) limit the amount an organization may pay for referrals.


Each year, CMS publishes the FMV amounts for initial and renewal compensation as well as referral fees. The amounts are as follows: