CMS Re-Establishes Data Match With VA to Verify Minimum Essential Coverage for Marketplace Eligibility
CMS has re-established a data matching program with the Department of Veterans Affairs to verify whether Marketplace applicants are enrolled in VA health care programs that constitute minimum essential coverage. The match allows CMS to determine eligibility for Insurance Affordability Programs by checking VA enrollment status. The program takes effect July 7, 2026, under Privacy Act requirements. This represents continuation of an existing verification process used in Marketplace eligibility determinations.
While focused on Marketplace programs, this data match affects coordination between VA coverage and Medicaid eligibility determinations in states using the federal eligibility system, particularly for dual-eligible populations.
Managed Care
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