Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: August 09, 2017

Program Area: Enrollment and Eligibility (ENR)

Question: Does the 'Proxy Direct Enrollment Pathway for 2018' affect issuers that only use payment redirect and do not participate in Direct Enrollment (DE) activities?

Answer: The Proxy Direct Enrollment Pathway is available to any third party entity, such as an Agent, Broker or issuer, that requests approval from the Centers for Medicare & Medicaid Services (CMS) to operate the Proxy Direct Enrollment Pathway, as the change will not automatically apply to any third party entity. According to the 'Health Insurance Exchange Guidance: Proxy Direct Enrollment Pathway for 2018 Individual Market Open Enrollment Period', published on May 17, 2017, 'CMS will review and approve auditors and DE entities for use of the proxy direct enrollment on a first come, first served basis, and cannot commit to reviewing and approving all auditors and DE entities prior to November 1, 2017.'

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