Submit one of the documents below if you need to confirm that you don’t have coverage through Medicaid or CHIP.
The most common documentation for proof of eligibility for/proof of coverage through Medicaid or CHIP include:
- Letter or statement from a Medicaid or CHIP agency that shows that you or your family members aren’t enrolled in or eligible for Medicaid or CHIP
- Letter or statement from a Medicaid agency showing that you or a family member are enrolled in a Medicaid program that’s not considered qualifying health coverage*
If you cannot provide a copy of these documents, please see below for other approved documents:
- A letter describing your recent health coverage including:
- The name of the Medicaid/CHIP program you were enrolled in and when your coverage ended, or
- That you were never enrolled in Medicaid/CHIP coverage, or
- The name of the Medicaid/CHIP program with limited benefits that you’re enrolled in that would still allow you to enroll in the Marketplace with help paying for coverage
*You can find more detailed information about Medicaid programs that don’t provide qualifying coverage. If you send document(s) verifying enrollment in one of these programs, you may be able to continue your financial help for your Marketplace coverage:
- Medicaid coverage only for pregnancy-related services
- Medicaid coverage only for family planning services
- Medicaid coverage only for tuberculosis coverage
- Medicaid coverage only for emergency treatment
- Medicaid Demonstration Projects that cover a limited range of benefits
- Medicaid coverage for “medically needy” individuals whose income is too high for traditional Medicaid and cover a limited range of benefits. These programs are sometimes known as “Share of Cost” or “Spend Down” programs.
For an official complete list of documents, please click here.
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