CMS Marketing Guidelines require health plans to opt in or out of TPMO marketing content for Medicare Advantage plans. On this page you will find guidance on how to submit marketing materials to Molina Healthcare for review and details on the process.
Molina uses an automated process created with Smartsheet, a work management tool. New users must complete a one-time compliance statement attesting that Molina Medicare Advantage plan benefits will only be advertised where they are applicable by county or zip code.
TPMOs upload material and answer a few questions through the TPMO Marketing Material Review form. A bulk submission sheet is available, by request, for companies with more than 10 assets to submit at a time. Users are notified if Molina opts in or opts out.
Health plans are responsible for the content of opted in materials and making sure they remain compliant with the most current CMS requirements. We will perform auditing to monitor submitted materials.
Feel free to contact the review team with any questions you may have.
Multi-plan Material Process Details
The multi-plan process is for third parties with materials who promote multiple organizations. Below dictates the process for submission to Molina. This review is required prior to uploading the asset into HPMS and tagging Molina. Our standard review turnaround time is seven business days.
Multiplan disclaimers
Disclaimers are required on all materials except banners and banner-like ads, envelopes, outdoor advertising, text messages, and social media. Digital materials that lead to landing page require the disclaimers to be placed there.
SBCI disclaimers (grocery, utility, OTC products, etc.) – updated for 2025
CMS updated the SSBCI disclaimer and how it must appear in the 2025 final rule, statute 42 CFR Section(s): 422.2267(e)(34.
Required Format: Pace (if audible) and font (if written) of disclaimer must be same as contact information provided. For television, online, social media, radio, or other voice-based adds, must use same font and read at the same pace as the advertised phone number or other contact information. The same font rule applies to outdoor advertising.
Special Supplemental Benefits ("SSBCI") might be available to you if you have any of the following conditions: [chronic heart failure, cardiovascular disorders, diabetes, cancer and end-stage liver disease]. Other eligible conditions not listed. These conditions may not apply to all types of SSBCI mentioned. Eligibility for this benefit cannot be guaranteed based solely on your condition. All applicable eligibility requirements must be met before the benefit is provided. For details, please contact us.
The brackets indicate that the list of conditions is variable.
The disclaimer is required on all marketing and communications materials that mention SSBCI benefits, including:
Federal contracting statement
[Company Name] is a licensed and certified representative of [plan types] organizations [and stand-alone PDP] that have a Medicare contract. Enrollment in any plan depends on contract renewal.
Third party marketing disclaimers
TPMO disclaimers are required if the third-party organization and/or independent agent does not sell/market all the available MA plans in the service area.
When the user zip code is known:
We do not offer every plan available in your area. Currently we represent [insert number of organizations] organizations which offer [insert number of plans] products in your area. Please contact Medicare.gov, 1–800–MEDICARE, or your local State Health Insurance Program to get information on all of your options.
On a landing page where no zip code has been determined:
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please visit Medicare.gov or call 1–800–MEDICARE to get information on all of your options.
When a material is only promoting Molina plans, the marketing and compliance teams will work with you to ensure it meets our standards and upload it into HPMS on your behalf.
Brand Guidelines
Molina has rules about how the logo can be used, specific color and font treatments, and naming conventions for its plans. Contact us to receive a copy of the brand guidelines.
Process Details
Molina only disclaimers
The most common disclaimers are listed below. This is not a complete list.
SSBCI disclaimers (grocery, utility, OTC products, etc.) – updated for 2025
CMS updated the SSBCI disclaimer and how it must appear in the 2025 final rule, statute 42 CFR Section(s): 422.2267(e)(34.
Required Format: Pace (if audible) and font (if written) of disclaimer must be same as contact information provided. For television, online, social media, radio, or other voice-based adds, must use same font and read at the same pace as the advertised phone number or other contact information. The same font rule applies to outdoor advertising.
Special Supplemental Benefits ("SSBCI") might be available to you if you have any of the following conditions: [chronic heart failure, cardiovascular disorders, diabetes, cancer and end-stage liver disease]. Other eligible conditions not listed. These conditions may not apply to all types of SSBCI mentioned. Eligibility for this benefit cannot be guaranteed based solely on your condition. All applicable eligibility requirements must be met before the benefit is provided. For details, please contact us.
The brackets indicate that the list of conditions is variable.
The disclaimer is required on all marketing and communications materials that mention SSBCI benefits, including:
[Molina Healthcare / Senior Whole Health] is a DSNP and HMO plan with a Medicare contract. DSNP plans have a contract with the state Medicaid program. Enrollment depends on contract renewal.
[Molina Healthcare / Senior Whole Health] complies with applicable Federal civil rights laws and does not discriminate on the basis of race, ethnicity, national origin, religion, gender, sex, age, mental or physical disability, health status, receipt of healthcare, claims experience, medical history, genetic information, evidence of insurability, geographic location.
Required on all materials for postcards, tri-fold brochures, pamphlets or non-8.5x 11 papers including Marketing materials
[Molina Healthcare / Senior Whole Health] complies with applicable Federal civil rights laws and does not discriminate on the basis of race, ethnicity, national origin, religion, gender, sex, age, mental or physical disability, health status, receipt of healthcare, claims experience, medical history, genetic information, evidence of insurability, geographic location.
Event Accommodations
This statement is required on all advertisements and invitations to events (educational and marketing).
For accommodation of persons with special needs at meetings call [(XXX) XXX-XXXX] (TTY: 711).
What Molina looks for
This list includes common reasons why a material may be opted-out. All final decisions are made by a compliance team member and are subject to their discretion. Our criteria may be different from other health plans and acceptance by another organization is not a factor.