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Georgia Access

Agents can complete & manage enrollment submissions for Georgia using HealthSherpa.

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Georgia Access is Georgia's State-based Marketplace (SBM). HealthSherpa is an Enhanced Direct Enrollment (EDE) partner for Georgia Access, giving agents the ability to shop, apply, & manage enrollment submissions directly on HealthSherpa.

In this article we'll cover:


Getting started in Georgia

To enroll consumers in Georgia, agents must:

  • Hold an active Georgia health insurance license

  • Complete Georgia Access certification

  • Activate a Georgia Access Agent Portal account

The same HealthSherpa account can be used for both Federally Facilitated Marketplace (FFM) and Georgia Access enrollments. In HealthSherpa accounts that include the Clients & Leads pages, Georgia Access consumers appear alongside consumers in FFM states.

Agents who sell only in Georgia do not need to integrate an FFM account, but will need to use multi-factor authentication (MFA).


Georgia Access certification

Agents are required to complete Georgia Access' annual certification and pass the exam to enroll consumers in Georgia.

Agents will need to sign in or create a Georgia Access Certification Platform account before starting training. Additional details about training types, estimated time commitments, & more are available on the Georgia Access Agents page.

  • Certification status can be checked on the Georgia Access Agent Listings page.

  • If certification status appears incorrect, contact the Georgia Access Enrollment Partner Support Line at 888-312-4237 and ask them to confirm the account shows as certified.

  • Georgia Access certification applies only to applications written for the state of Georgia. To sell Affordable Care Act (ACA) plans in additional states, agents must complete the certification required by those states.

Once Georgia Access certification is complete, Georgia Access will send an email with instructions to activate the Georgia Access Agent Portal account. Completing this activation ensures that the agent's National Producer Number (NPN) is properly applied as Agent of Record (AOR) on Georgia applications.

If Georgia enrollments are not showing the correct AOR, additional Georgia Access certification steps may need to be completed.


Consumer authorization

To protect consumer security and application integrity, agents enrolling Affordable Care Act (ACA) consumers in Georgia must complete an additional authorization step to access or submit applications. This authorization takes the form of a one-time passcode (OTP) that the consumer must provide before the agent can interact with an existing application or create a new one on their behalf.

Consumer authorization is required at the search & claim step for Georgia Access applications when a consumer is not already in the agent's book within HealthSherpa.

Consumer authorization is not required for consumers already in the agent's book within HealthSherpa.

Generating a one-time passcode (OTP)

A one-time passcode (OTP) can be sent from HealthSherpa or sent manually by verifying the consumer's identity.

Sending a code from HealthSherpa

A one-time passcode (OTP) can be sent from HealthSherpa to the consumer via text, voice call, or email. Emails will come from identity_codes@healthsherpa.com.

The contact information used is what is listed on the consumer's application.

The consumer will share the code with the agent, and the agent will enter the code into HealthSherpa.

On success, HealthSherpa will redirect the agent to the next step in the application.

Sending a code manually

A one-time passcode (OTP) can be sent to the consumer manually by verifying the consumer's identity.

This can be useful when a consumer does not have access to their listed phone or email.

Select Verify consumer's identity to proceed.

Agents can help the consumer verify their identity directly or send the consumer a secure link to complete verification themselves.

On success, HealthSherpa redirects to the next step in the application.

Consumers who are new to Georgia Access may be asked to verify their identity when being assisted by an agent in order to proceed with an application. This is separate from consumer OTP authorization and may occur regardless of whether consumer authorization is required.


Renewing consumers for plan year 2026

When renewing consumers in Georgia for plan year 2026, agents are prompted to search & claim the consumer's updated plan year 2026 application, which Georgia Access creates in advance. These applications may appear as Completed or Enrolled when searching.

Georgia Access resolved an issue that was preventing plan year 2026 applications from returning in search & claim on November 5, 2025. The following updates have since been made to the HealthSherpa account to clarify the Georgia renewal workflow:

  • The Clients > Renewals list now shows the state and can be filtered by state.

  • Consumers in Georgia show a Search exchange button instead of a Renew button. Agents should use this as a first step when renewing Georgia applications.

  • Search results show a tag indicating which application to claim. This tag appears next to any plan year 2026 application for coverage that is actively enrolled. Claiming and editing this application should not result in a duplicate enrollment error.

  • If no plan year 2026 enrolled application is tagged, agents should create a new application. If the new application returns a duplicate error, contact the Georgia Access Enrollment Partner Support Line at 888-312-4237.

Aetna is leaving ACA marketplaces starting January 1, 2026. Georgia Access did not crosswalk Aetna plans for plan year 2026, so consumers previously enrolled in Aetna plans do not have plan year 2026 coverage unless they are actively renewed. A renewal record may exist, but coverage is not in place until the consumer is actively renewed into an available plan.

Active renewals are encouraged to ensure NPN accuracy, give consumers the opportunity to update their plan, and confirm they have suitable coverage for the upcoming plan year.

If available plans should be viewed before updating an application, agents may do so using the Quoter.


Window shopping & Open Enrollment dates

Georgia releases plan data on its own schedule outside of the Centers for Medicare & Medicaid Services (CMS). As an SBM, Georgia approves plan data with carriers and distributes it to web brokers and EDE partners, similar to how CMS does for FFM states.

  • Window shopping for plan year 2027 in Georgia begins on October 13, 2026.

  • The Open Enrollment Period (OEP) for plan year 2027 in Georgia is October 19, 2026 to December 15, 2026.


Frequently asked questions

Will subsidy levels in Georgia differ from FFM subsidy levels?

No. Subsidy levels for advance premium tax credit (APTC) and cost-sharing reduction (CSR) eligibility are set at the federal level. Georgia uses the same Federal Poverty Level (FPL) Guidelines as the FFM. The 2025 FPL chart will be used to determine subsidy eligibility during the plan year 2026 Open Enrollment Period.

Are both FFM certification and Georgia Access certification required to write in Georgia?

If selling only in Georgia for plan year 2026, only Georgia Access certification for plan year 2026 is required. FFM certification is not required. If FFM certification is not completed for plan year 2026, CMS will revoke access to plan year 2025 FFM applications once CMS processes role revocations (typically in late October).

To sell in other states for plan year 2026, certification requirements vary by state and marketplace type.

Will non-resident agents be able to write and renew consumers in Georgia?

Georgia Access has not placed restrictions on residency. Agents who are licensed with the state of Georgia and certified with Georgia Access can write or renew Georgia consumers through HealthSherpa regardless of residency.

Will NPN Override be available for Georgia Access?

Yes. NPN Override functionality is available in Georgia. Agents must continue to follow applicable state appointment and certification laws, including carrier appointment requirements where applicable.

Can consumers decline to share data with Georgia Medicaid?

No. According to Georgia Access, consumers must agree to share data with Georgia Medicaid as part of their eligibility determination.

Does Georgia Access have Double Redirect (DRD)?

No. The Georgia Access Agent Portal is only accessible through EDE. Double Redirect (DRD) is not supported by any EDE entity, including HealthSherpa.

How is Georgia Access handling Individual Coverage Health Reimbursement Arrangements (ICHRA)?

ICHRA questions continue to be included in Georgia applications.

Are payment options different for Georgia Access?

No. The Georgia Access transition does not impact payment options. Carriers with payment integration will continue to use that as their primary payment redirect connection.

When should CMS be contacted vs. Georgia Access?

Anything related to plan year 2024 plans should be directed to CMS. Anything related to plan year 2025 and beyond, qualified health plans (QHPs), & agent licensing should be directed to Georgia Access.

What if no search results appear for a Georgia consumer with active coverage?

Search results may not return for a Georgia consumer if that consumer is not listed as the primary contact on the application. If a consumer claims to have active coverage but does not appear in search results:

  • Agents should ask whether the consumer is the primary contact for the coverage.

  • If the consumer claims to be the primary contact but is not appearing, report this to Agent Support and check Georgia Access for any available application.

  • If the consumer was not the primary contact, search for the primary contact on the active coverage. From those results, claim the completed, enrolled application that appears.

If a dependent wants to leave an application to submit their own, the dependent must first be removed from the current application. After Georgia Access processes the removal, which may take up to 24 hours, a new application can be submitted. Submitting a new application before removal is processed will result in a duplication block from Georgia Access.

What if there is an EDE access error?

If the error "User unauthorized to access EDE for Georgia Access" appears:

  1. Confirm the NPN is on the Georgia Access Agent Certification List.

  2. If it is not listed, verify that:

  3. If everything looks accurate and issues persist, contact Georgia Access Partner Support at 888-312-4237 or edesupport@georgiaaccess.ga.gov. Agents can check back the next day to help rule out a timing issue.

Why is the NPN showing as a blank Agent of Record (AOR) on renewal applications?

A blank AOR on renewal applications is often caused by an inactive Georgia Access Agent Portal account. After completing Georgia Access certification, agents receive an email with activation instructions. Completing activation ensures the NPN is properly applied as AOR on Georgia submissions.

Additional steps that may need to be completed within the Georgia Access Agent Portal include:

  • Logging in to the Georgia Access dashboard

  • Accepting delegation agreements within the Georgia Access portal

  • Confirming that name, email, phone, & NPN are accurately listed on Sircon.

For activation issues, contact the Georgia Access Contact Center at 888-312-4237.

How do agents enable EDE if only certified with Georgia Access and not FFM certified?

Agents who are not FFM certified but are certified to sell through a supported SBM such as Georgia Access should contact Agent Support. Agent Support can manually complete identity verification so the agent can proceed.

Where can acceptable documents for Georgia Access Data Matching Issues (DMIs) be found?

The list of acceptable documents for verifying information in Georgia is available on the Georgia Access Help Center.

Does the Invalid Action error apply to Georgia Access applications?

Similar to the CMS Invalid Action error, Georgia Access may generate an Invalid Action error for enrollment submissions. Agents who complete consumer authorization are unlikely to encounter this error. Agents who do encounter the Georgia Access Invalid Action error will be routed through a verification process.


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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