What is the CMS ACA Attestation eligibility requirement?
The Centers for Medicare & Medicaid Services (CMS) issued a requirement that all health insurance agents must obtain an attestation from Marketplace ACA consumers.
This requirement aims to “ensure the consumer is aware of what they are agreeing to and that they have confirmed the accuracy of the information in their Marketplace eligibility application prior to submission.” Requiring an attestation is another step toward creating more transparency about the health insurance process and ensuring your clients understand the coverage they are receiving.
Although similar to the ACA Consent to Contact, it’s important to note when each comes into play. An agent should gather Consent at the beginning of working with a new prospect. An agent should gather the attestation after the quoting and enrollment process but before completion.
Currently, CMS doesn’t require a specific attestation form to obtain agreement. However, here are the main pieces of information your team’s form should have:
- The date the information was reviewed by the consumer/client
- The name of the consumer/client (or their authorized representative)
- An explanation of the attestations at the end of the eligibility application
- The name of the agent/broker
How to comply with ACA Attestation regulations
Similar to the ACA Consent to Contact compliance rule, agents can obtain attestations in one of three ways:
- Verbally
- Electronically
- In Person
How to obtain ACA Attestations using AMS+
In AMS+, your team can gather ACA Attestations in a few different ways:
- Electronic compliance (Sales Records only): Generate and send ACA Attestations directly from AMS+ — both in English and Spanish. Once the attestation is signed, it’ll be stored in the contact’s profile for easy access. Maintain other compliance needs like Medicare Scope of Appointment (SOA) and ACA Consent to Contact in AMS+ as well.
- Call recordings: Automatically record all calls made to and from AgencyBloc’s AMS+ VoIP phone dialer system. These recordings will also be stored in the contact’s profile.
- Video conferencing: Use the built-in video conferencing tool in AMS+ to virtually meet with prospects and clients. Similar to the above, video recordings are also stored in the contact’s profile.
- Emails: Save emails with ACA Attestations directly to the contact’s profile via our Email Integration and Email Forwarding features.