Webinar: Preventing & Resolving Data-Matching Issues
In this webinar presented on November 17, 2016, Judy Solomon, Vice President for Health Policy, and Shelby Gonzales, Senior Health Policy Analyst, detail what happens when the Federally-Facilitated Marketplace (FFM) determines that information consumers provide as to their income and citizenship or immigration status doesn’t match information available to the FFM, and how assisters can help people resolve these data-matching issues.
Presentation Slides
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Watch the Webinar
Process to Verify Eligibility
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Verifying eligibility through data matching
- Attestations often can’t be verified through data matching
Data-matching issues (DMI)
- Process when there is a DMI
- Notification of a DMI
Verification of Citizenship and Immigration Status
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Verification of citizenship (video section, slides)
- Reasons data matching may be unsuccessful
- Documents to prove citizenship
Verification of immigration status (video section, slides)
- Reasons data matching may be unsuccessful
- Documents to prove immigration status
- Examples of document types
Example: Resolving citizenship and immigration status DMIs (video section, slides)
Verification of Household Income
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Verification of income (video section, slides)
- General rules on attestations of income
- Reasons data matching may not verify income
Resolving an income DMI (video section, slides)
- Documents that can be used to verify income
- Marketplace consumer guide for income data-matching issues
- What if no documents are available to prove attestation?
Examples (video section, slides)
- Resolving an income DMI
- Recent college graduate
- Early retirement
Next steps if DMI is not resolved (video section, slides)
Verification of Minimum Essential Coverage
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Data matching with Medicaid agencies, Medicare, or Office of Personnel Management
- Resolving DMI if found to be eligible for or enrolled in MEC
General Tips
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Tips:
- To prevent data-matching issues
- To resolve data-matching issues
- On sending documentation to resolve data-matching issues
Q&A
Additional Resources
Resources links | View resource links
Webinar: Immigrant Eligibility for Insurance Affordability Programs | View webinar
Centers for Medicare & Medicaid Services (CMS): Consumer Guide for Annual Household Income Data-Matching Issues | View guide (outside resource)
Webinar: Premium Tax Credits | View webinar
Health Care Assister’s Guide to Tax Rules | View guide
Key Facts: Immigrant Eligibility for Health Insurance Affordability Programs | View key facts
Key Facts: Helping Families that Include Immigrants Apply for Health Coverage | View key facts
Beyond the Basics Webinar Series | View all webinars
Key Facts About Health Reform | View all key facts