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Stephens-Matthews will offer Ambetter in the following states for PY 2025:
Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky,
Louisiana, Michigan, Mississippi, Missouri, Nebraska, New Hampshire,
New Jersey,
North Carolina, Ohio, Oklahoma,
Pennsylvainia,
South Carolina, Tennessee, Texas, Washington
Ambetter Health Policy Update: Elimination of NPN Overrides
Many state entities have recently announced, or will soon announce, the disallowance of National Producer Number (NPN) Overrides. To align with these state requirements and ensure consistent compliance across our footprint:
Effective October 15, 2025, Ambetter Health will prohibit the use of National Producer Number (NPN) Overrides across all states, regardless of CMS, state, or direct enrollment platform allowances.
Requirements for Producers:
- Application Submission: All applications must be submitted by the individual agent who negotiates, sells, and solicits the policy to the consumer using their own NPN.
- Licensing & Appointment: Any producer actively assisting with the application, plan selection, or enrollment process must be licensed, contracted, and appointed in every state where business is conducted.
- Preemption of External Guidance: This policy supersedes CMS, state, or platform guidance that may permit the NPN Override feature.
- Enforcement: Failure to comply may result in immediate termination of the agent and/or agency contract.
This update reflects Ambetter Health’s commitment to compliant business practices and consumer protection.
ACA
Get FFM Certified
Plan Year 2026 Marketplace
Registration and Training
is Live for New and Returning
Agents and Brokers
Plan year 2026 Marketplace registration and training is now available for new and returning agents and brokers on the Marketplace Learning Management System (MLMS)! Plan year 2026 Marketplace training is available in English and Spanish.
https://www.cms.gov/marketplace/agents-brokers/registration-training
Plan year 2026 FFM certification for agents and brokers + free CEUs
Stephens-Matthews ACA Plan/State Availability Grid
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For more information about Ambetter, submit the short form below or contact Pam at
1-800-544-8250 ext. 20906 , email pam@stephens-matthews.com
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Suspended Marketing and Enrollment for MAPD Plans in Florida and North Carolina
We would like to make you aware that all enrollment and marketing activities are suspended effective Jan. 12, 2024 for all plans under the two contracts below:
- Florida MAPD PPO Contract (H5199
- North Carolina MAPD PPO Contract (H7175)
Important:
- All marketing activities must be stopped immediately for all plans under these two contracts
- Effective Jan. 12, 2024, agents and agencies can no longer market any plans under these two contracts.
- All enrollment materials releated to these plans have been removed from Wellcare sites and enrollment platforms, and materials are no longer available for downloading, printingm or ordering.
More Information:
CMS suspends enrollment and marketing for two Centene Medicare Advantage plans
By Healthcare Finance – January 11, 2024
CMS also provided notice to WellCare that it had made a determination to impose intermediate sanctions consisting of the suspension of enrollment and all marketing activities for these Medicare Advantage plans.
These intermediate sanctions will be effective on January 12. CMS said it would provide WellCare with detailed instructions regarding the enrollment and marketing suspensions in a separate communication. ARTICLE |
