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Will consumers need to submit documentation of their income?

As much as possible, the Health Insurance Marketplace can use existing data sources or get information from various federal and state agencies, such as the IRS, to verify income. This is designed to ensure a high degree of program integrity and should reduce the amount of paperwork that consumers need to provide.

There will be situations in which income documentation is needed.

There are separate processes for income verification for premium tax credits and sharing reductions, vs. Medicaid and CHIP. For premium tax credits, and cost-sharing reductions, as well as Medicaid and CHIP assessment, the Health Insurance Marketplace will use data from the IRS, the Social Security Administration, and other income data sources as a part of the verification process. In Nebraska, the Medicaid Longterm Care program will make final Medicaid and CHIP determinations and will request any documentation needed.

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