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Webinar OE5: Preventing and Resolving Data-Matching Issues

Process in Healthcare.gov


In this webinar presented on October 18, 2017, Shelby Gonzales, Senior Policy Analyst, and Halley Cloud, Health Outreach Manager, detail what happens when Healthcare.gov determines that information applicants provide as to their income and citizenship or immigration status doesn’t match information available to federal data sources, and how assisters can help people resolve these data-matching issues.

Presentation Slides

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Data-Matching Process

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Data-matching process to verify eligibility factors

Notice of data-matching issue

 

Verification of Citizenship and Immigration Status

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How Healthcare.gov verifies citizenship (video section, slides)

  • Reasons data matching may be unsuccessful
  • Documents that can be used to prove U.S. citizenship

How Healthcare.gov verifies immigration status (video sectionslides)

  • Reasons data matching may be unsuccessful
  • Documents and needed document numbers to prove immigration status
  • Examples of document types

Example: Immigration and citizenship verification (video sectionslides)

 

Verification of Household Income

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How Healthcare.gov verifies income

  • General rules for income verified through data matching

When an income data-matching issue is triggered (video sectionslides)

  • Example documents that can be used to verify income
  • Marketplace guide for income data-matching issues

Examples: (video sectionslides)

  • Expected income goes down
  • No previous tax data
  • Early retirement

Failure to resolve income data-matching issue (video sectionslides)

 

Verification of Other Minimum Essential Coverage

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Resolving data-matching issues regarding minimum essential coverage

 

Identity Proofing

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Healthcare.gov process for identity proofing

  • Documents that can be used to prove identity
  • If identity can’t be verified

 

General Tips to Prevent and Resolve DMIs

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Tips:

  • To resolve data-matching issues
  • On sending documentation to resolve data-matching issues
  • To prevent data-matching issues

 


Additional Resources

Resources | View resources links

Beyond the Basics Webinar Series | View all webinars

Key Facts About Health Reform | View all key facts