CMS to require new identity-proofing and agent authorization for enhanced direct enrollment

Aug 12, 2026

CMS announced new identity-proofing and agent/broker authorization requirements for enhanced direct enrollment websites and said verification activities will move outside the marketplace call center to strengthen program integrity and speed service for compliant agents.

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Peter Nelson, a deputy administrator at the Centers for Medicare & Medicaid Services (CMS) and director of the office that oversees the Health Insurance Marketplace, told agents and brokers that CMS is making program-integrity changes ahead of plan year 2027.

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