CMS COMPLIANCE

SOA Compliance for Medicare Agents

The Scope of Appointment is the document that separates a legal Medicare Advantage discussion from a CMS violation. Here is what SOA is, what CMS requires, and the CRM workflow that keeps you audit ready without the paperwork headache.

THE BASICS

What a Scope of Appointment Is

A Scope of Appointment (SOA) is a form a Medicare beneficiary signs before you discuss Medicare Advantage or Part D plans with them. It documents what plan types the beneficiary agreed to discuss. If you discuss a plan type not listed on the SOA, that is a CMS violation.

When it's required

Before any MA, MAPD, or PDP discussion. Inbound calls, outbound, in person. Every time.

What it covers

Plan types the beneficiary agreed to discuss. Contact info. Agent info. Date of the scheduled meeting.

What it doesn't cover

Med Supp discussions don't require SOA. Neither do educational events. Marketing events do.

THE RULES

CMS SOA Requirements

RuleRequirement
TimingSOA must be signed BEFORE the plan discussion begins
48 hour ruleFor personal marketing appointments, SOA must be obtained at least 48 hours in advance (with limited exceptions)
Plan typesMust list specific product types beneficiary agrees to discuss
SignatureBeneficiary signature required. Electronic signatures allowed.
Retention10 years from date of signature, even for appointments that don't result in enrollment
AccessibilityMust be producible on request during a CMS audit
THE WORKFLOW

SOA Inside the CRM

1. Booking trigger

Appointment booked for a Medicare prospect, SOA form auto sent via SMS or email.

2. Electronic signature

Prospect clicks the link, reviews, signs electronically. Timestamp and IP captured.

3. Auto store

Signed SOA attached to the contact record. Retrievable with a single search.

4. Pre call check

No signed SOA, no meeting. Calendar reminder blocks the call until SOA is on file.

Make SOA Compliance Automatic

We build Medicare SOA workflows inside your CRM: auto send, electronic signature capture, 10 year retention, and audit ready retrieval. Every meeting, every time.