If you get a notice from the Marketplace saying that you need to submit documents to confirm that you were denied coverage through Medicaid or the Children’s Health Insurance Program (CHIP) in the past 60 days, you can upload or mail the Marketplace documents at least one person who was denied. If more than one person on your application was recently denied coverage through Medicaid or CHIP, you only need to submit documents for one of these people.
IMPORTANT: Upload or mail documents as soon as possible. If you don’t submit documents by the deadline, you won’t have Marketplace coverage.
Note: Medicaid and CHIP names may vary. Learn what they’re called in your state.
Documents must show that you were denied coverage through Medicaid or CHIP. These documents must include your name and the date you were denied coverage. Documents you can submit:
You can upload more than one document if you have multiple documents to confirm denial of Medicaid or CHIP coverage. Select the green "UPLOAD DOCUMENTS" button on the upload screen in your application to submit each document.
If you had Medicaid or CHIP coverage and it ended, you can submit a letter explaining that you lost Medicaid or CHIP. See above for more information.
You can submit a letter stating that you were denied Medicaid or CHIP, and explaining the reason you can’t provide documents. Use this form, and fill out the "Denial of Medicaid or CHIP Coverage" section. When you complete the form, select "Letter of explanation" from the drop-down menu when you're on the upload documents screen in the application.
Find out how to upload documents
Mailing address: Health Insurance Marketplace Attn: Coverage Processing 465 Industrial Blvd London, KY 40750-0001