The Centers for Medicare & Medicaid Services (CMS) released its Department of Health & Human Services (HHS) Notice of Benefit and Payment Parameters for 2024 final rule, which finalizes standards for issuers, Marketplaces, agents, brokers, web brokers, and assisters (navigators, non-navigator assistance personnel, and Certified Application Counselors). It includes changes that will affect your ACA clients’ plan choices, coverage, coverage effective dates, and SEP availability.
There are also two important changes that will impact you:
Documentation of consent from consumers – HHS now requires you to provide proof that you’ve received consent from a consumer, or their authorized representative, to help with their ACA coverage decisions. You must request consent before providing assistance, retain the documentation for a minimum of 10 years, and produce it upon request.
Documentation of consumer review of application – You must also document that the consumer, or authorized representative, has reviewed and confirmed all eligibility application information prior to applying. You must retain this documentation for a minimum of 10 years and produce it upon request.
Blue KC has developed a form you may use for documentation.
See all the details of the final rule at HHS Notice of Benefit and Payment Paraments for 2024 Final Rule.