OE10 Webinar:
September 2022

Part III: Health Coverage Eligibility Based on Immigration Status

In Part III of this Beyond the Basics OE10 webinar series presented in partnership with the National Immigration Law Center (NILC) on September 20, 2022, Gabrielle Lessard, Senior Policy Attorney at NILC, and Shelby Gonzales, Vice President for Immigration Policy at Center on Budget and Policy Priorities, provide an overview of immigration status-related eligibility requirements for Medicaid and coverage through the health insurance marketplace.

Webinar Resources

↓ Presentation Slides (PDF) (Note: Slide 9 was updated April 11, 2023)

OE10 Webinar

Jump To:

Eligibility for ACA Marketplace Coverage Based on Immigration Status

  • Immigration statuses eligible for marketplace coverage

Eligibility for Medicaid & CHIP Based on Immigration Status

  • Immigration statuses eligible for Medicaid & CHIP
  • 5-year bar in Medicaid & CHIP
  • State residency for Marketplace, Medicaid, & CHIP

Other Important Eligibility Rules for Families that Include Immigrants

  • Special premium tax credit rule
  • Special marketplace rules for seniors
  • Examples

Options for People Ineligible for Insurance Affordability Programs Due to Immigration Status

  • Medicaid payment for emergency services
  • People who are undocumented or have DACA status
  • Programs that don’t restrict eligibility based on status

Public Charge Update

  • Details on public charge rule effective December 23, 2022

Navigating the Application Process

  • How the marketplace verifies citizenship and immigration status eligibility
  • Documents that can be used to prove citizenship or immigration status
  • Navigating the application process for people who are ineligible for Medicaid due to immigration status

Additional Resources

Beyond the Basics Resources:

Reference Guide: Immigration Documents Used in Healthcare.gov

Key Facts:

OE10 Webinar Series (Coverage Year 2023)

National Immigration Law Center (NILC) Resources:

“Lawfully Present” Individuals under the Affordable Care Act

Update on Access to Healthcare for Immigrants and Their Families

FAQ: Immigrants, Taxes, and the Affordable Care Act

Protecting Immigrant Families Resources:

“Know Your Rights” Materials for Consumers

Healthcare.gov Resources:

Assister Guide to Immigration Section of Healthcare.gov

Eligible Immigration Statuses for Marketplace Coverage

Immigration Document Types

Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their health coverage.

Stay up to date:

Center on Budget and Policy Priorities

1275 First Street NE, Suite 1200
Washington, DC 20002

Beyondthebasics@cbpp.org

Robert Wood Johnson Foundation

Support for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

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