{"id":5280,"date":"2024-12-11T14:59:59","date_gmt":"2024-12-11T19:59:59","guid":{"rendered":"https:\/\/www.bluekc.com\/blueprint\/?p=5280"},"modified":"2025-05-12T10:18:14","modified_gmt":"2025-05-12T15:18:14","slug":"aca-compliance-updates","status":"publish","type":"post","link":"https:\/\/www.bluekc.com\/blueprint\/agents\/broker-resources\/aca-compliance-updates\/","title":{"rendered":"ACA compliance updates"},"content":{"rendered":"\n<p>On July 19, 2024, the Centers for Medicare &amp; Medicaid Services (CMS) made updates to Federally-Facilitated Marketplace (FFM) systems to block an agent or broker from making changes to a consumer\u2019s FFM enrollment unless the agent is already associated with the consumer\u2019s enrollment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">New requirements for brokers<\/h2>\n\n\n\n<p>An agent or broker who is not already associated with a consumer\u2019s enrollment and who has consent from a consumer to update their Marketplace enrollment will be required to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Conduct a three-way call with the consumer and the Marketplace Call Center OR<\/li>\n\n\n\n<li>Use HealthSherpa\u2019s new Resume Link process &nbsp;<\/li>\n<\/ul>\n\n\n\n<p>The Resume Link process includes an ID-proofing step designed to protect consumer intent while making application updates. By using this workflow, agents may be able to bypass the need for a three-way call with the Marketplace Call Center. Learn more about <a href=\"https:\/\/faq.healthsherpa.com\/en\/articles\/9641342-cms-system-changes-invalidaction-error\" target=\"_blank\" rel=\"noreferrer noopener\">CMS System Changes<\/a>.&nbsp;<\/p>\n\n\n\n<p>This re-enrollment will include the new agent\u2019s NPN and will cancel and replace the auto re-enrollment. To avoid potentially needing to do consecutive three-way calls with a consumer and the Marketplace Call Center, it is recommended that agents and brokers complete all necessary changes to the consumer\u2019s enrollment at once, rather than attempting to make enrollment changes in a piecemeal fashion.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Document consumer consent <\/h2>\n\n\n\n<p>Agents must document <a href=\"https:\/\/www.cms.gov\/files\/document\/cms-model-consent-form-marketplace-agents-and-brokers.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">consent<\/a> and maintain the documentation for a minimum of 10 years. The documentation must include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Description of the scope, purpose, and duration of the consent provided by the consumer or their authorized representative;<\/li>\n\n\n\n<li>Date the consent was given;<\/li>\n\n\n\n<li>Name of the consumer or their authorized representative;<\/li>\n\n\n\n<li>Name of the assisting agent, broker, or web broker; and<\/li>\n\n\n\n<li>Process through which the consumer or their authorized representative may rescind the consent.<\/li>\n<\/ul>\n\n\n\n<p>Blue KC will review a random sampling of ACA applications to ensure the consent form has been collected and includes the information above.&nbsp;You may be asked to provide a copy of the consent form.&nbsp;<\/p>\n\n\n<div class=\"cta-form cta-click-to-call theme-dark bg-shield bg-shield-right-positioned\">\n    <div class=\"col cta-section\">\n        <h3>Download the CMS Model Consent Form.<\/h3>    <\/div>\n    <div class=\"col\">\n        \n        <a class=\"btn btn-light\" href=\"https:\/\/www.cms.gov\/files\/document\/cms-model-consent-form-marketplace-agents-and-brokers.pdf\" target=\"_blank\">CMS Model Consent Form<\/a>\n    <\/div>\n<\/div>\r\n\t\t\t<div id=\"daexthefu-container\"\r\n\t\t\t\tclass=\"daexthefu-container daexthefu-layout-side-by-side daexthefu-alignment-left\"\r\n\t\t\t\tdata-post-id=\"5280\">\r\n\r\n\t\t\t\t<div class=\"daexthefu-feedback\">\r\n\t\t\t\t\t<div class=\"daexthefu-text\">\r\n\t\t\t\t\t\t<h3 class=\"daexthefu-title\">Was this helpful?<\/h3>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<div class=\"daexthefu-buttons-container\">\r\n\t\t\t\t\t\t<div class=\"daexthefu-buttons\">\r\n\t\t\t\t\t\t\t\r\n\t\t\t<div class=\"daexthefu-yes daexthefu-button daexthefu-button-type-icon\" data-value=\"1\">\r\n\t\t\t\t\r\n                <svg>\r\n                    <defs>\r\n                        <style>.thumb-up-cls-1{fill:#c9c9c9;}.thumb-up-cls-2{fill:#e1e1e1;}.thumb-up-cls-3{fill:#676767;}<\/style>\r\n                    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                <\/g>\r\n                <\/svg>\t\t\t<\/div>\r\n\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t<div class=\"daexthefu-no daexthefu-button daexthefu-button-type-icon\" data-value=\"0\">\r\n\t\t\t\t\r\n                <svg>\r\n                    <defs>\r\n                        <style>.thumb-down-cls-1{fill:#c9c9c9;}.thumb-down-cls-2{fill:#e1e1e1;}.thumb-down-cls-3{fill:#676767;}<\/style>\r\n                    <\/defs>\r\n                    <g id=\"thumb_down\">\r\n                        <path class=\"thumb-down-cls-2 daexthefu-icon-circle\" d=\"m24,3c11.58,0,21,9.42,21,21s-9.42,21-21,21S3,35.58,3,24,12.42,3,24,3m0-1C11.85,2,2,11.85,2,24s9.85,22,22,22,22-9.85,22-22S36.15,2,24,2h0Z\" \/>\r\n                        <g>\r\n                            <rect class=\"thumb-down-cls-3 daexthefu-icon-secondary-color\" x=\"10\" y=\"13\" width=\"6\" height=\"15\" rx=\"1.5\" ry=\"1.5\" \/>\r\n                            <path class=\"thumb-down-cls-1 daexthefu-icon-primary-color\" d=\"m30.57,38.94l-.49.1c-.81.17-1.61-.35-1.78-1.16l-5.3-11.74c-.17-.81,3.16-1.61,3.97-1.78l1.96-.41c.81-.17,1.61.35,1.78,1.16l2.18,10.27c.34,1.61-.7,3.21-2.31,3.56Z\" \/>\r\n                            <path class=\"thumb-down-cls-1 daexthefu-icon-primary-color\" d=\"m38.17,28h-18.67c-.83,0-1.5-.67-1.5-1.5v-12c0-.83.67-1.5,1.5-1.5h16.27c.71,0,1.33.5,1.47,1.21l2.4,12c.19.93-.53,1.8-1.47,1.8Z\" \/>\r\n                        <\/g>\r\n                    <\/g>\r\n                <\/svg>\t\t\t<\/div>\r\n\r\n\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<div class=\"daexthefu-comment\">\r\n\t\t\t\t\t<div class=\"daexthefu-comment-top-container\">\r\n\t\t\t\t\t\t<label id=\"daexthefu-comment-label\" class=\"daexthefu-comment-label\"><\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"daexthefu-comment-character-counter-container\">\r\n\t\t\t\t\t\t\t\t<div id=\"daexthefu-comment-character-counter-number\"\r\n\t\t\t\t\t\t\t\t\tclass=\"daexthefu-comment-character-counter-number\"><\/div>\r\n\t\t\t\t\t\t\t\t<div class=\"daexthefu-comment-character-counter-text\"><\/div>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<textarea id=\"daexthefu-comment-textarea\" class=\"daexthefu-comment-textarea\"\r\n\t\t\t\t\t\t\t\tplaceholder=\"Type your message\"\r\n\t\t\t\t\t\t\t\tmaxlength=\"\r\n\t\t\t\t\t\t\t\t400\t\t\t\t\t\t\t\t\t\"><\/textarea>\r\n\t\t\t\t\t<div class=\"daexthefu-comment-buttons-container\">\r\n\t\t\t\t\t\t<button class=\"daexthefu-comment-submit daexthefu-button\">Submit<\/button>\r\n\t\t\t\t\t\t<button class=\"daexthefu-comment-cancel daexthefu-button\">Cancel<\/button>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<div class=\"daexthefu-successful-submission-text\">Thanks for your feedback!<\/div>\r\n\r\n\t\t\t<\/div>\r\n\r\n\t\t\t","protected":false},"excerpt":{"rendered":"<p>On July 19, 2024, the Centers for Medicare &amp; Medicaid Services (CMS) made updates to Federally-Facilitated Marketplace (FFM) systems to block an agent or broker from making changes to a consumer\u2019s FFM enrollment unless the agent is already associated with&#8230;<\/p>\n","protected":false},"author":26,"featured_media":5282,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_helpful_status":1,"_analytify_skip_tracking":false,"footnotes":""},"categories":[3,7],"tags":[58],"post-on-community-impact":[],"class_list":["post-5280","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-broker-resources","category-gated-agent","tag-agents-ifp-aca"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.1.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>ACA compliance updates - The Blueprint<\/title>\n<meta name=\"robots\" content=\"index, follow, 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