Which statement correctly describes Medicaid/CHIP Denial SEP eligibility?

Which statement correctly describes Medicaid/CHIP Denial SEP eligibility?

• A. Eligible to enroll if they applied during the last Open Enrollment or during an SEP
• B. Eligible only if they applied during the last OE
• C. Eligible only if they applied during an SEP
• D. Not eligible for a Denial SEP

Answer: (A)

The Denial Special Enrollment Period is designed for people who applied for Medicaid or CHIP and were denied. The timing rule is that you’re eligible to enroll in a Marketplace plan if your Medicaid/CHIP application was filed during the most recent Open Enrollment or during a qualifying Special Enrollment Period. That makes this option the best answer because it captures both ways you could have submitted the Medicaid/CHIP application to trigger the Denial SEP. In other words, denial doesn’t block you from Marketplace coverage as long as your Medicaid/CHIP application was submitted within those windows.

The Denial Special Enrollment Period is designed for people who applied for Medicaid or CHIP and were denied. The timing rule is that you’re eligible to enroll in a Marketplace plan if your Medicaid/CHIP application was filed during the most recent Open Enrollment or during a qualifying Special Enrollment Period. That makes this option the best answer because it captures both ways you could have submitted the Medicaid/CHIP application to trigger the Denial SEP. In other words, denial doesn’t block you from Marketplace coverage as long as your Medicaid/CHIP application was submitted within those windows.