Ambetter Third Quarter Broker News (July 2022)
Ambetter Guide
Find Ambetter in-network providers in your area. Use the new broker Ambetter Guide Tutorial to help clients find in-network providers for Ambetter Essential | Balanced | Secure, Ambetter Select, Ambetter Value and Ambetter Virtual Access. It is important clients understand that each Ambetter product has a different provider network and how to search specific networks using our online provider search tool guide.ambetterhealth.com The new Broker Ambetter Guide Tutorial is also available in your broker portal in the Training Materials section.
New MFA Requirement to access the CMS Enterprise Portal
Don't lose your CMS system access.
Currently, registered and new Marketplace agents and brokers will need to set up and begin utilizing Multi-Factor Authentication (MFA) in order to access the CMS Enterprise Portal at https://portal.cms.gov Setting up MFA is critical for users enrolling consumers through the Classic Direct Enrollment (DE) pathway. If you do not set up an MFA device, you will not be able to log in to HealthCare.gov after being redirected from a private website.
What To Do Now
Log in to the CMS Enterprise Portal and complete set up of an MFA device. To see instructions on how to enable an MFA device, view the Enterprise Portal User Guide .
CMS encourages users to set up multiple MFA methods and confirm that all contact information, including the email in their agent/broker profile, is up-to-date to avoid any interruptions in CMS system access. You will then be able to select any of the five methods listed below:
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SMS Authentication:
Users enter a code texted to their phone.
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Email Authentication:
Users enter a code sent in an email.
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Google Authenticator:
Users enter a code from their Google Authenticator app.
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Okta Verify:
Users enter a code from their Okta Verify app.
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Voice Call Authentication (Interactive Voice Response – IVR):
Users receive a phone call from a computer-operated phone system.
If MFA is NOT Enabled
Users who have signed in since account creation:
Email will be assigned as your default MFA device. Users are encouraged to set up multiple MFA methods and confirm that the email in their agent/broker profile is up-to-date.
Users who have NOT signed in since account creation:
You will receive a prompt to set up an MFA device when you sign in to the CMS Enterprise Portal . When prompted, you will see the following screen after logging in with your User ID and Password. You will then be able to select any of the five devices listed above.
New users:
Effective June 2022, new users now are guided to set up an MFA device as part of the “New User Registration” process for creating a CMS Enterprise Portal account. Upon completion, you then will be prompted to log back into the CMS Enterprise Portal and select your preferred MFA device.
Immigration Data Matching Issues (DMIs)
The Marketplace has noticed a significant increase in open immigration DMIs.
A message from CMS on the increase of immigration DMIs-
We’re reaching out to all agents and brokers about immigration data matching issues (DMIs) because the Marketplace has noticed a significant increase in open immigration DMIs. If you have clients with an unresolved immigration DMI, they will lose their health coverage if it isn’t resolved before the deadline.
What can you do to help?
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Make sure your client’s I-94/USCIS number or I-551 number is on their application if they’re attesting to an immigration status. It can make resolving their immigration DMI easier.
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Make sure your client selects the correct immigration status to avoid a DMI and prevent a loss of coverage. A consumer’s DMI cannot be resolved until they update their application with the correct immigration status and documentation. It is important to note that a consumer with Lawful Permanent Residence, or a “green card,” is not considered a U.S. citizen until they have completed the naturalization process. Please provide the correct status in order to avoid a DMI.
What is an I-94 Number?
An I-94 number is an 11-digit admission record used as proof of legal visitor status. This number can be found on the printed Form I-94 admission record, the I-94 website , or by using the CBP OneTM mobile app. Note: Currently the I-94 number includes numbers and letters. Numbers issued before May 2019 only include numbers. A visual of the application and where to input this information is included below.
What is an A-Number/United States Citizenship and Immigration Services (USICS) Number?
An A-Number, also known as an alien number/alien registration number, is a unique seven-, eight-, or nine-digit number assigned to a noncitizen by the United States Department of Homeland Security (DHS). The A-number is found on the front of an I-551 Permanent Resident Card, also known as a green card. The A-number is sometimes referred to as “A#.” A visual of the application and where to input this information is included below.
Note: DHS “minimizes the use of the term alien to situations where it is needed for legal or operational purposes.”
Why is providing your client’s A-Number/I-94 Number (or immigration document ID number) on their application important?
Providing the consumer’s A-Number/I-94 number on their application will improve the chances of successful verification with the DHS Systematic Alien Verification for Entitlements (SAVE) Program. While this information is considered optional in the application, providing it may prevent the immigration DMIs and help resolve an immigration DMI.
To see Application Visuals for Input of Immigration Document Numbers, please follow this link: https://content.govdelivery.com/accounts/USCMSHIM/bulletins/3170a4b
"It's Covered"
Ambetter Preventive Services: Skin Cancer Screenings
Using sunscreen when out in the sun is an important preventive measure for keeping your skin healthy. Another preventive care measure available to Ambetter members is a Skin Cancer Screening.
· Ambetter members 40-65+ years of age can receive an annual total skin cancer screening.
· Ambetter members 18-39 years of age can receive a periodic total skin cancer screening every three (3) years.
Skin Cancer Screening exams are done at the discretion of the members Ambetter in-network healthcare provider. For full preventive services benefit details refer to your state’s Preventive Services Guide.
To view the full Preventive Services Guide for your state, go to ambetterhealth.com :
· From the Select Your State dropdown menu, select your state.
· Then, from the For Members dropdown menu, select Forms and Materials. The Preventive Services Guide is listed under Reference Materials.