Healthcare

Were you found not eligible for Medicaid or CHIP?

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The notes below can help you answer the following question on the Marketplace application.

  • Note: If you haven’t applied for Medicaid or CHIP, don’t check the box.

Was anyone on your Marketplace application found not eligible for Medicaid or the Children's Health Insurance Program (CHIP) in the past 90 days?

There’s a box next to each person’s name. If you’re not sure whether to check it, see below.

When to check the box
If the person on your application...Check the box
Never applied for Medicaid or CHIPNo
Was denied in the past 90 days but had changes in income or family size since the denial (unless they were denied based on immigration status)No
Was denied Medicaid or CHIP by the state more than 90 days ago (unless that denial was based on immigration status)No
Applied for Medicaid or CHIP but haven’t received a response yetNo
Was denied because of the results of a disability determination or because of having too many assetsNo
Was denied because the applicant didn’t turn in paperwork that the state asked forNo
Had their Medicaid or CHIP end in the past 90 days because of a change in state rules made them ineligible for Medicaid or CHIPYes
Was told by the state that their current Medicaid or CHIP coverage will end within the next monthYes
Was denied by the state in the past 90 days because their income was too highYes
Was denied by the state since October 1, 2013, because their immigration status doesn’t qualify for Medicaid or CHIPYes
Was denied by the state because their state doesn’t cover people with their household type (like some states don’t cover adults who aren’t taking care of children)Yes
Is a child who was denied CHIP coverage by the state in the past 90 days because they need to wait for a month or more before starting CHIP coverage (called the CHIP waiting period)Yes

Note: Medicaid and CHIP programs may be called different names, like “Medical Assistance,” “All Kids,” or “Family Care.” See what the programs are called in your state.

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