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Collecting & managing consent

HealthSherpa tools help agents collect & manage consent.

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HealthSherpa provides built-in tools to help agents collect & manage both Consumer Consent & Eligibility Application Review.

In this article we'll cover:

Consent is collected & managed by HealthSherpa for enrollments submitted using HealthSherpa Enrollee Assistance Full-Service account types.


Collecting consent

The Centers for Medicare & Medicaid Services (CMS) requires to document that they have consent from Affordable Care Act (ACA) consumers when providing assistance.

Consent is made up of two separate parts called Consumer Consent and Eligibility Application Review.

Collection methods

When collecting consent, HealthSherpa gives agents the flexibility to choose from multiple collection methods. A downloadable consent form is available in when applicable.

Emailing a digital consent form

Selecting this option sends the consumer an email with a link to a digital consent form. Once the consumer signs and submits the form, the agent is notified, and a PDF version of the consent form is saved to the consumer's record in the HealthSherpa account.

If the consumer does not have an email associated with their application, the agent will have the opportunity to enter an email address to be used only for consent collection. That address will not be associated with the application or used for other correspondence.

When emailing Eligibility Application Review, a randomly generated access code will appear. The agent must provide this code to the consumer in order for them to access their digital review form. This helps protect important personal information. The access code does not expire, but will not be visible after navigating past this page. To generate a new access code, the agent will need to resend the digital consent form.

Texting a digital consent form

Selecting this option sends the consumer a text message with a link to a digital consent form. Once the consumer signs and submits the form, the agent is notified, and a PDF version of the consent form is saved to the consumer's record in the HealthSherpa account.

Consumers must opt in to receive text messages from HealthSherpa in order to proceed with text consent.

When texting Eligibility Application Review, a randomly generated access code will appear. The agent must provide this code to the consumer in order for them to access their digital review form. This helps protect important personal information. The access code does not expire, but will not be visible after navigating past this page. To generate a new access code, the agent will need to resend the digital consent form.

Selecting consent from the Consent Library

Selecting this option allows agents to select an existing piece of consent documentation from the Consent Library. Begin typing a consumer's name or email address to populate the list, or select the drop-down menu to scroll through all consumers in the Consent Library.

Once selected, the consent form is saved to the consumer's record in the HealthSherpa account.

This option is available for Consumer Consent only and is not available for Eligibility Application Review.

Uploading consent

Selecting this option allows the agent to upload a new consent file. Once uploaded, the consent form is saved to the consumer's record in the HealthSherpa account.

Storing consent outside of the HealthSherpa account

Selecting this option allows the agent to indicate consent will be documented and managed outside of HealthSherpa.

Once selected, the choice will be noted within the consumer's record in the HealthSherpa account.

When submitting Enrollee Assistance Program (EAP) enrollments using the Shared-Service Model (SSM), agents are required to document consent and provide the documentation to HealthSherpa.

Available collection methods may vary slightly depending on which part of consent is being documented and where consent is being collected within HealthSherpa.

Where to collect consent within HealthSherpa

HealthSherpa gives agents the ability to collect consent from several places within the HealthSherpa account.

From the Consent page

The Consent page lets agents upload new or updated consent and collect Consumer Consent early.

Agents can save consent documentation from the Consent page, including consent collected early, to the consumer’s record during the enrollment submission journey.

During the enrollment flow

During the enrollment flow, Consumer Consent can be collected on the Privacy Policy screen.

Eligibility Application Review can be collected on the Confirm plan screen.

Leaving the drop-down menu minimized assumes Eligibility Application Review will be documented and managed outside of HealthSherpa.

Select the drop-down menu to collect Eligibility Application Review.

From the client's Details tab

The Details tab is the default view when an agent opens a consumer record from the Clients page.

From the Consent section, agents can upload new or updated consent by selecting Upload consent.

From the Upload proof of client consent page, select the application plan year, type of consent, choose a file to upload, then select Save.

When selecting consent type, Consumer Consent is referred to as "Initial consent" and Eligibility Application Review is referred to as "Enrollment review."


Managing consent records

The Centers for Medicare & Medicaid Services (CMS) requires agents to retain consent records for at least 10 years.

Viewing consent records

All consent records stored within the HealthSherpa account are visible from the client's Details tab and from the Consent Library.

Client's Details tab

The Details tab is the default view when an agent opens a consumer record from the Clients page.

From the Consent section, agents can view and manage any consent documentation the agent chooses to store in the HealthSherpa account for the selected consumer.

Columns & statuses

  • Consent type: Shows whether the documentation is for Consumer Consent or Eligibility Application Review.

    • Initial consent: Consumer Consent

    • Enrollment review: Eligibility Application Review

  • Status: The current status of the consent record.

    • Pending: A digital consent request was sent to the consumer, but it has not been completed.

    • Collected: Consent has been documented, either in the HealthSherpa account or in the agent’s own records.

    • Revoked: The agent marked the consent as revoked.

  • Updated at: The most recent date and time the consent record was updated by the agent or the consumer.

  • Plan year: The plan year associated with the application.

  • Channel: How consent was captured.

  • Action: Options to resend a digital consent request, download consent documentation, mark consent as revoked, or delete consent documentation.

Consent Library

The Consent Library tab is the default view when an agent opens the Consent page. It is the central place to view and manage any consent documentation the agent chooses to store in the HealthSherpa account, for any consumer, including both Consumer Consent and Eligibility Application Review.

Consent management actions

Agents have several management tools available when viewing consent records stored within the HealthSherpa account.

Resending digital consent forms

If a consumer has not yet completed a digital consent form, the record will show a Pending status. Records with a Pending status include a Resend option within the Actions menu. Selecting Resend will send the form again using the same method it was originally sent, whether email or text.

When resending Eligibility Application Review, a new access code will be generated.

Downloading consent

Select Download within the Actions menu to view and download the consent record.

Revoking consent

Selecting Revoke updates the record's status and notes the date of revocation. Use this option to indicate that consent has been withdrawn after it was previously collected.

Deleting consent

Selecting Delete permanently removes the record from the HealthSherpa account. This action cannot be undone and is reserved for situations where an incorrect document was uploaded by mistake.

Delete is not available for enrollments submitted using the Enrollee Assistance Program (EAP) Shared-Service Model (SSM).


Consent completion notifications

HealthSherpa sends agents an email notification each time a consumer successfully completes a digital consent form, whether it was shared by email or text.

Disabling consent completion notifications

To disable consent completion notifications, go to the Gear icon in the top right corner of the HealthSherpa dashboard, then select Account settings.

Select the Emails tab within the Settings page, then clear the checkbox in the desired notification.


Exports

HealthSherpa export reports are .csv files that contain various data points depending on the export selected. Exports are available at the agent and agency level.

Consent-specific data points within the Clients export and Enrollments export include:

  • Collected: Consent has been uploaded or marked as stored outside of HealthSherpa.

  • Action required: The agent chose to upload consent later but has not yet done so.


Training videos & walkthroughs

Training videos

Watch the latest recorded version of the Compliance & consent webinar here.

Walkthrough of emailing a digital consent form

Consumer Consent

  • When an agent emails a digital consent request, a success message confirms the email was sent.

  • The consumer receives an email from no_reply@HealthSherpa.com.

  • Selecting the Grant consent button takes the consumer to the consent page.

  • From the consent page, the consumer can electronically sign, confirm they have read and agree to HealthSherpa's terms and conditions, and select Submit. A success message confirms the page is safe to close.

Eligibility Application Review

  • When an agent emails a digital consent request, a success message confirms the email was sent and an access code is generated. Note the code before navigating away.

  • The consumer receives an email from no_reply@HealthSherpa.com.

  • Selecting the Review enrollment details button prompts the consumer to verify their identity and enter the access code shared by the agent.

  • Next, the consumer arrives at the Review your enrollment page. Here, the consumer will review their plan selection, application, and attestations.

  • From the Review your enrollment page, the consumer can electronically sign, confirm they have read and agree to HealthSherpa's terms and conditions, and select Submit. A success message confirms the page is safe to close.

Walkthrough of texting a digital consent form

Consumer Consent

  • When an agent texts a digital consent request, a success message confirms the text was sent.

  • The consumer receives a text message with a link.

  • Selecting the link takes the consumer to the consent page.

  • From the consent page, the consumer can electronically sign, confirm they have read and agree to HealthSherpa's terms and conditions, and select Submit. A success message confirms the page is safe to close.

Eligibility Application Review

  • When an agent texts a digital consent request, a success message confirms the text was sent along sent and an access code is generated. Note the code before navigating away.

  • The consumer receives a text message with a link.

  • Selecting the link prompts the consumer to verify their identity and enter the access code shared by the agent.

  • Next, the consumer arrives at the Review your enrollment page. Here, the consumer will review their plan selection, application, and attestations.

  • From the Review your enrollment page, the consumer can electronically sign, confirm they have read and agree to HealthSherpa's terms and conditions, and select Submit. A success message confirms the page is safe to close.

If a consumer has opted out of text messages from HealthSherpa, the text consent option will not be available and an error message similar to this will display:


Frequently asked questions

Does CMS specify how consent should be documented?

The Centers for Medicare & Medicaid Services (CMS) does not require agents to follow a standard format or process when documenting consent. CMS does require that consent documentation include specific details, and that documentation clearly indicate the consumer (or their authorized representative) actively provided consent.

Can Eligibility Application Review be collected early?

No. By definition, only Consumer Consent can be collected early. Eligibility Application Review must during enrollment submission because it must indicate application information and plan selection have been reviewed and approved by the consumer, and attestations have been shared.

Are there file constraints when uploading consent?

Yes. When uploading consent files:

  • Only one (1) file may be uploaded at a time

  • Files must be less than 20MB

  • Supported file formats are .png, .jpg, .pdf, & .mp3

What should agents do when an access code appears after sending Eligibility Application Review?

When emailing or texting Eligibility Application Review, a randomly generated access code appears on screen. The agent must share this code with the consumer so they can access the digital review form. The code does not expire, but is only visible at the time it is generated. To generate a new access code, the agent will need to resend the digital consent form.


Downloadable forms


Additional resources

For help using HealthSherpa or for other assistance, contact Agent Support. Agent Support is available by phone at (888) 684-1373, by email at Agent_Support@HealthSherpa.com, or by chat directly from your account.

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