The OIG has released a Special Fraud Alert to warn Medicare Advantage Organizations (MAOs), health care professionals (HCPs), agents and brokers, and others about certain fraud and abuse risks associated with:

• Marketing arrangements between MAOs and HCPs; and
• Arrangements between HCPs and agents and brokers for Medicare Advantage (MA) plans.

We are not aware of any behaviors that contradict this guidance but wanted to share this information with you. If you are aware of any arrangements that contradict these guidelines, please cease immediately and alert the Medicare Compliance Officer at MedicareComplianceOfficer@MolinaHealthcare.com.

For more information, please refer to this letter issued by the OIG. If you have any questions, please reach out to your local BCM. Contact information may be found here.

Agents must be ready to sell, which means certified, contracted, licensed in the applicable states and appointed by Molina Healthcare Inc. in accordance with state law prior to engaging in the sale of Molina Healthcare products. Any dissemination or distribution of this material is strictly prohibited and may result in corrective action up through termination of your contract with Molina Healthcare Inc.