Questions about your household’s eligibility for Medicaid and CHIP

When completing your application, you may be asked if anyone on your application was recently turned down for state Medicaid or CHIP coverage.

You may also be asked to select the name of anyone on your application who applied for coverage through their state or the Marketplace during a specific period of time.

Medicaid and CHIP programs may also be called different names, like “Medical Assistance,” “All Kids,” or “Family Care.” See what they’re called in your state.

Here’s more information about how to answer these questions

Were any of these people found not eligible for Medicaid and Children’s Health Insurance Program (CHIP) in the past 90 days? Or, were any of them found not eligible for Medicaid or CHIP due to their immigration status since October 1, 2013?

There will be a box next to each person’s name. If the answer to this question is “No,” don’t check the box for any person. If the answer is “No” for everyone on your application, select the box for “None of these people.”

Don’t check the box for any person who:

• Was denied Medicaid or CHIP in the past 90 days but had changes in income or family size since the denial (unless they were denied based on immigration status)
• Was denied Medicaid or CHIP by the state more than 90 days ago (unless that denial was based on immigration status)
• Applied for Medicaid or CHIP, but hasn’t received a response yet
• Was denied Medicaid or CHIP because of the results of a disability determination or because of having too many assets
• Was denied Medicaid or CHIP coverage because the applicant didn’t turn in paperwork that the state asked for

Do check the box for any person who:

• Had their Medicaid or CHIP end in the past 90 days because of a change in state rules made them ineligible for Medicaid or CHIP
• Was told by the state that their current Medicaid or CHIP coverage will end within the next month
• Was denied Medicaid or CHIP by the state in the past 90 days because their income is too high
• Was denied Medicaid or CHIP by the state since October 1, 2013, because their immigration status doesn’t qualify for Medicaid or CHIP
• Was denied Medicaid or CHIP by the state because their state doesn’t cover people with their household type (for example, some states don’t cover adults who aren’t taking care of children)
• Is a child denied CHIP coverage by the state in the past 90 days because he or she needs to wait for a month or more before starting CHIP coverage (called the CHIP waiting period)

Recent income changes If your household income has decreased since the time the Medicaid and CHIP agency(s) sent the denial, you should select “None of these people.” For example, if anyone in your household lost their job, had their hours or wages cut at work, or stopped getting unemployment benefits or another taxable income source, select “None of these people.”

Recent family size changes If your household size has increased since you were denied Medicaid or CHIP by your state, you should select “None of these people.” For example, if you or another household member got married, had a baby, adopted a child, became pregnant, or started claiming someone new as a dependent on your tax return, you should select “None of these people.”