AHIP Advances Compliance with New Training and 2025 Policy Updates
In recent industry updates, AHIP continues to emphasize compliance readiness and modernization through new training and operational initiatives. The organization has launched enhanced Medicare + Fraud, Waste, and Abuse (MFWA) training to strengthen agent compliance and improve accessibility with mobile-friendly features and real-time language support. Additionally, AHIP is spotlighting upcoming webinars focused on CMS 2025 compliance changes, including updates to appeals, grievances, and the implementation of the Medicare Prescription Payment Plan (M3P). In alignment with regulatory priorities, AHIP and major health insurers have also pledged to simplify and streamline prior authorization processes, reducing the scope of required services, extending authorization validity for patients changing insurers, and standardizing electronic submissions by 2027. These initiatives reflect a broader industry commitment to compliance, transparency, and efficiency, supported by innovative tools such as AI-driven credentialing and monitoring models aimed at enhancing oversight and accountability across the healthcare ecosystem.
CMS 2025 Compliance Changes – AHIP
FFM Integrations Now Expire Faster
Effective August 29, 2025, CMS now requires all FFM integrations to expire after 30 minutes of inactivity, replacing the previous 12-hour window. HealthSherpa sessions remain active, but reintegration is required before continuing Marketplace tasks such as opening client details, completing applications, syncing, uploading documents, or re-syncing. Tasks like Georgia applications, quoting, and general administration remain unaffected, though background connections may still trigger reintegration prompts.
NABIP and NAIFA have raised concerns over workflow disruptions and broker friction during open enrollment, but the policy is fully implemented with no extensions announced. For support, agents can contact CMS at FFMProducer-AssisterHelpDesk@cms.hhs.gov or reach out to HealthSherpa directly.
AHIP 2026 Live + ACA Way Townhall Coming Up
Stay sharp with NHP University, the AHIP certification for Plan Year 2026 is now live, and you can use our exclusive link for a discount.
Also, follow ACA Way on all official social platforms to catch the upcoming Townhall, where top voices like NABIP CEO Jessica Brooks-Woods will break down the latest reconciliation bill—don’t miss it!