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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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