Preventing & Resolving Data Matching Issues
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Home // Archives for September 2020
In this Health Reform: Beyond the Basics webinar presented on September 29, 2020, Tara Straw, Senior Policy Analyst, and Shelby Gonzales, Director of Immigration Policy, provide guidance on how to help consumers complete the Marketplace documentation requirements; they cover both how to prevent data matching issues from occurring and how to resolve them when they do occur.
Overview of Data Matching Issues
Verification of Citizenship and Immigration Status
Verification of Household Income
Verification of Other Minimum Essential Coverage
Identity Proofing for HealthCare.gov
General Tips to Prevent and Resolve DMIs
Additional Resources
Home // Archives for September 2020
In this Health Reform: Beyond the Basics webinar presented by the Center on Budget and Policy Priorities on September 24, 2020, in partnership with the National Immigration Law Center, Shelby Gonzales, Director of Immigration Policy, and Gabrielle Lessard, Senior Policy Attorney at the National Immigration Law Center, provide an overview of immigration status-related eligibility requirements for Medicaid, the Children’s Health Insurance Program and for enrollment in marketplace plans.
Eligibility for Marketplace Coverage Based on Immigration Status
Eligibility for Medicaid and CHIP Based on Immigration Status
Other Important Eligibility Rules for Families that Include Immigrants
Options for People Ineligible for Insurance Affordability Programs
Navigating the Application Process
Additional Resources
Reference Guide to Immigration Documents
Webinar: Subsidy Eligibility for Immigrants Ineligible for Medicaid Due to Status
Key Facts: Immigrant Eligibility for Health Coverage Programs
Key Facts: Helping Families That Include Immigrants Apply for Health Coverage
Home // Archives for September 2020
In this Health Reform: Beyond the Basics webinar presented by the Center on Budget and Policy Priorities on September 22, 2020, Tara Straw, Senior Policy Analyst, provides an in-depth review of eligibility rules for premium tax credits—including how offers of employer-sponsored insurance can affect eligibility—as well as how premium tax credits are calculated.
Premium Tax Credit Eligibility
Calculation of the Premium Tax Credit
Home // Archives for September 2020
The health reform law changed the way Medicaid and CHIP determine eligibility for most beneficiaries to align with how eligibility for premium tax credits is determined in the Marketplaces. All three coverage programs determine a household’s size and income using tax rules. The Center on Budget and Policy Priorities developed The Health Care Assister’s Guide to Tax Rules to familiarize people who are helping consumers apply for Medicaid, CHIP and premium tax credits with the tax rules that are applied in determining eligibility for these programs.
The guide explains the basics of who must file taxes, different filing status options, rules for claiming tax dependents, rules for determining Medicaid and CHIP households and how these rules differ from rules for premium tax credit, as well as what sources of income are considered taxable and therefore counted in determining Medicaid and premium tax credit eligibility. The guide is meant to give health care assisters a basic understanding of these rules to help guide discussions with applicants.
Home // Archives for September 2020
In this Health Reform: Beyond the Basics webinar presented on September 15, 2020, Tara Straw, Senior Policy Analyst, and Shelby Gonzales, Director of Immigration Policy, detail the rules used to determine household size and explain what counts as income when determining eligibility for premium tax credits and Medicaid.
Why Household Size & Income Matter
Determining Households for Premium Tax Credits
Determining Households for MAGI Medicaid
What Counts as Income for PTC and Medicaid
How Income Time Periods Differ between Medicaid and Premium Tax Credits
How Marketplaces and Medicaid Combine Household and Income Rules to Determine Eligibility
Additional Resources
Yearly Income Guidelines and Thresholds
Determining Households for Medicaid and CHIP
Determining Households for PTC
Income Definitions for Marketplace and Medicaid Coverage
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