The QO shall submit to the Department for prior written approval all marketing plans, procedures and materials including the following items:
The QO shall not engage in deceptive marketing practices that mislead, confuse, or defraud eligible enrollees or the Department.
Marketing materials shall be clear and include at least the following:
The QO shall not provide cash, gift incentives or rebates to prospective members.
The QO shall not claim superior medical care or provider skills or threaten, coerce or make untruthful statements regarding the merits of the plan.
If the QO employs a system of compensation for marketing representatives based on commissions or other incentives, the QO shall assure the Department that sales activities are adequately supervised to conform to allowable practices.
Each eligible Medicaid recipient in the category or categories covered under the contract shall be considered a potential enrollee and may not be discriminated against on the basis of health status or need for health care services.
The QO marketing personnel and their supervisors may be required to participate in training sessions presented by the Department that set forth the Department's requirements, expectations and limitations.
No QO shall represent to any D.C. Medicaid recipient that he or she is required to enroll in any prepaid plan.
D.C. Mun. Regs. tit. 22, r. 22-B5505