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CMS Issues Guidance on Income Verification for Exchange Subsidies

The Centers for Medicare & Medicaid Services (CMS) released Aug. 5 additional guidance on income verification for people applying for subsidies to purchase insurance through the health insurance exchanges. The guidance, released as frequently asked questions, indicates exchanges will use tax filings and Social Security data – and in some cases will also use current wage information or other documentation such as pay stubs – to verify income. For 2014 only, all individuals who apply for subsidies through federally facilitated exchanges must be verified through an additional eligibility process. State-based exchanges may choose a different sample size for this additional eligibility verification.

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