For More Information:

Carlos Estefani
Senior Vice President, Translation Sales
BIG Language Solutions
Phone: +1 305 371 7887 x308
E-mail:[email protected]

Do you have a translation or interpretation request?​

Or call: +1 305 371 7887 x308

CMS Regulatory Changes & What They Mean For You

On April 12, 2023, the Centers for Medicare & Medicaid Services (CMS) published a final rule revising translation and accessibility requirements for Medicare Advantage and Part D materials. The final rule mandates expanded availability of translated materials to members with limited English proficiency who request accommodation. Although full implementation of some of the requirements of this new ruling may not be in effect until early 2026, healthcare providers have been advised to be prepared to accommodate increased requests for translated materials, as well as faster direct-to-patient delivery of those materials, by January 1, 2024. 

Because the final updated CMS rule requires plans to provide translated versions of required materials on a standing basis in languages spoken by at least 5% of individuals in a plan’s service area, many plans and providers are urgently seeking solutions to help them efficiently and quickly meet this increased need in a cost-effective way. BIG Language Solutions’ LanguageEXPRESS™ service was designed specifically to support healthcare organizations as they navigate this new regulatory landscape.

 We know that once a plan learns of an enrollee’s preferred language, whether through an individual request, health risk assessment (HRA), or an additional member touchpoint, the plan must provide required materials in that identified language if the enrollee remains with the plan or until they request materials in another language. This is expected to create both an immediate and steadily increasing need for quick turn, high-quality translations in hundreds of languages provided by linguists with both medical backgrounds and familiarity with Medicare and Medicaid regulations and requirements.


Fortunately for our valued clients in the healthcare space, BIG Language Solutions is ready with LanguageEXPRESS™!

BIG’s LanguageEXPRESS™ service provides round-the-clock, rapid translation support for member communications, coverage determination letters, EOBs, and much more. Our automated workflows are custom tailored to help our clients quickly respond to the ever-shifting regulatory mandates around multilingual communications. We also support our clients as they meet the needs of their members with disabilities with our direct-to-member delivery of alternate format requests that comply with Section 508 of the Americans with Disabilities Act.

What Makes LanguageEXPRESS™ Different?

Service, Savings & Quality

In today’s competitive marketplace, we know you’re being asked to do more with less. BIG’s LanguageEXPRESS™ service enables you to do just that.

You’ll get a customized, scalable program that you can easily measure and manage, giving you access to a suite of reporting capabilities and full transparency into the metrics that matter most to you and your stakeholders.


24x7x365 Support

Your need for member-specific communications related to patient care, ongoing treatment plans, and health emergencies do not adhere to regular business hours, and neither do we. BIG Language Solutions is focused on meeting and exceeding the legal, ethical, and professional standards applicable to our healthcare partners and plan providers.

Our dedicated LanguageEXPRESS™ team is available 24x7x365 to efficiently process your urgent language needs whenever they arise.


Confidentiality & Compliance

As a language partner with a security-first mindset, we offer our clients a fully encrypted proprietary platform for handling sensitive and confidential data that guarantees the security and retention of all documents, end to end, during the project lifecycle and beyond.


Our compliance-driven language access solutions leverage automated workflows in a secure, SOC 2 and HITRUST-certified environment, so that your data, and the sensitive member information you’re entrusted with, will remain fully protected.

Automation & Integration

Our secure, proprietary platform is designed to function as an extension of your existing workflows, with open APIs to allow for extensive customization and options. We prioritize automation to streamline your processes through plugins and customized smart grids, all accessible via a unique interface. This gives your stakeholders a single access point for all your translation tasks, and enables you to track their progress, expedite projects, set notifications, and customize your user settings.

Our technology team will partner closely with you to create a seamless integration between our systems and yours, eliminating the need for manual intervention and optimizing resource utilization.

About BIG Language

Six of the most trusted specialty language service providers in the world have come together to create BIG Language Solutions. With over 160 years of combined expertise, a “follow-the-sun,” always on business model, and resources in over 300 languages and dialects, BIG LS is a leading provider of secure, turnkey language solutions to clients around the globe.

Featured Capabilities

Custom Solutions
Custom Solutions: Because No Two Institutions Have the Same Needs or Requirements
Large print & Braille
When translation is more than meets the eye
Connect Your Brand to a Global Audience With Our Fully Customizable Services
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BIG’s family of language service providers includes…

Years in Business
1 +
Global Locations
Expert Linguists
in secure translations
# 100

The World's Most Secure Translation Environment™

LanguageVault® is a fully secure environment for translating sensitive and confidential data that ensures the security and retention of all documents.

We are BIG on Diversity

BIG will always be committed to diversity. Our focus is on recruiting, retaining, and advancing the most talented team members from all backgrounds. We encourage our teams to provide different and original perspectives that diversity of race, ethnicity, gender, religion, sexual orientation, and abilities bring to our company, partners, and clients.

For More Information:

Carlos Estefani
Senior Vice President, Translation Sales
BIG Language Solutions
Phone: +1 305 371 7887 x308
E-mail:[email protected]

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