Understanding DMIs

Understanding Data Matching Inconsistencies: 

Your eligibility determination for coverage and an Advanced Premium Tax Credit is based on your self-reported information. To confirm the accuracy of the information submitted, Your Health Idaho verifies it against official databases. This occurs anytime you submit an application and periodically if you are enrolled.

When the information provided in your application doesn’t match information found on a database, we call that a Data Matching Inconsistency (DMI). In the case of a DMI, we will notify you via your secure inbox, and your account’s “My Dashboard“ will be updated to give notice of the verification requirements. You have 30-90 days from the date of the DMI (depending on the type of DMI) to have it validated before your enrollment or eligibility may be impacted. 

When you upload the required documents, a Your Health Idaho Consumer Advocate will review and either approve or reject the document within ten business days.  

Examples of Data Matching Inconsistencies are:

  • Income
  • Citizenship
  • Date of birth
  • Eligibility for other coverage like Tricare or other government agency
  • Immigration 
  • Lawful permanent residency
  • Social security number
  • American Indian or Alaska Native
  • Death

Acceptable Documents to Validate a Data Matching Inconsistency

Idaho Residency

  • One of the following showing the address listed on your account:
  • Driver’s License 
  • Voter Registration Card

OR, two of the following documents dated in the last 60 days showing the address listed on your account: 

  • Student college enrollment letter
  • Automobile registration 
  • Rental agreement 
  • Utility bills
  • Property tax notice
  • Home payment notice 
  • Offer of employment

American Indian or Alaska Native (AIAN)

  • Federal or state census records showing U.S. birth
  • Final adoption decree showing U.S. birth
  • Hospital birth record   
  • Hospital souvenir birth certificate  
  • Institutional admission papers
  • Insurance record showing U.S. birth  
  • Legal birth certificate
  • Northern Mariana card I-873
  • Official military records showing U.S. birth
  • Official religious record showing U.S. birth
  • Other birth records
  • Power of attorney document
  • Qualifying school record showing U.S. birth
  • Religious record
  • Report/certificate of birth abroad of U.S. citizen (DS-1350, FS-240, or FS-545)
  • A statement signed by the physician/midwife attending the birth

Death

  • Death certificate 
  • Funeral home statement 
  • Newspaper clipping/collateral contact
  • Employer Sponsored Insurance (ESI) 
  • Employer health insurance card confirming coverage expiration date 
  • Employer insurance company letter confirming coverage expiration date  
  • TRICARE coverage 
  • Letter or statement from TRICARE that shows the expiration date of previous health coverage   
  • Letter or statement from TRICARE that confirms ineligibility for health coverage 
  • Letter, statement, or document indicating a life-change event deeming you or your family member ineligible for TRICARE coverage 
  • Letter or statement from TRICARE or another government agency showing that you or a family member is enrolled in a TRICARE program that is not considered MEC

Immigration Status

  • Employer health insurance card confirming coverage expiration date 
  • Employer insurance company letter confirming coverage expiration date  
  • TRICARE coverage 
  • Letter or statement from TRICARE that shows the expiration date of previous health coverage   
  • Letter or statement from TRICARE that confirms ineligibility for health coverage 
  • Letter, statement, or document indicating a life-change event deeming you or your family member ineligible for TRICARE coverage 
  • Letter or statement from TRICARE or another government agency showing that you or a family member is enrolled in a TRICARE program that is not considered MEC

Incarceration

  • Employer health insurance card confirming coverage expiration date 
  • Employer insurance company letter confirming coverage expiration date  
  • TRICARE coverage 
  • Letter or statement from TRICARE that shows the expiration date of previous health coverage   
  • Letter or statement from TRICARE that confirms ineligibility for health coverage 
  • Letter, statement, or document indicating a life-change event deeming you or your family member ineligible for TRICARE coverage 
  • Letter or statement from TRICARE or another government agency showing that you or a family member is enrolled in a TRICARE program that is not considered MEC

Lawful Permanent Resident (LPR)

  • Certification from the U.S. Department of Health and Human Services (HHS) Office of Refugee Resettlement (ORR) 
  • Document indicating withholding of removal (or withholding of deportation) 
  • DS2019 Certificate of Eligibility for Exchange Visitor (J-1) Status  
  • Any document that's accepted as verification of enrollment in a federally recognized Indian tribe or verification of status as an American Indian born in Canada 
  • Foreign passport with an Immigrant Visa stamp  
  • I-20 Certificate of Eligibility for Nonimmigrant (F-1) Student Status  
  • I-327 Permit to Reenter the United States  
  • I-551 Permanent Resident Card ("green card") 
  • I-571 Refugee Travel Document  
  • I-766 Employment Authorization card  
  • I-94/I-94A   Arrival/Departure Record  
  • Machine Readable Immigrant Visa (with temporary I-551 language)  
  • I-797 Notice of Action   
  • Office of Refugee Resettlement (ORR) eligibility letter (if under 18)  
  • Resident of American Samoa card 
  • Temporary I-551 stamp on passport or I-94/I-94A 
  • Order from an immigration judge 
  • Statement from U.S. Citizenship and Immigration Services (USCIS) 

Social Security Number

  • Social Security Card 
  • Divorce decree  
  • W2 and/or 1099s (includes 1099 MISC, 1099G, 1099R, 1099DIV, 1099S, 1099INT 
  • Pay stub documentation 
  • W4 Withholding Allowance Certificate (federal or state versions acceptable) 
  • Military record (DD214, VA Benefits letter) 
  • Social Security Administration documentation (includes 4029) 
  • 1095 (includes 1095A, 1095B, 1095C) 
  • U.S. Military ID card 
  • 1040 Tax Return (federal or state versions acceptable) 
  • Military dependent's ID card 
  • Court Order Granting a Name Change, that must have your original first and last name, new first and last name, and SSN 
  • Unemployment Benefits (Unemployment Benefits Letter)

U.S. Citizenship   

  • American Indian card I-872 
  • American Indian tribal census records 
  • Certificate of Naturalization (N-550/N-570) 
  • Certificate of Citizenship (N-560/N561) 
  • Document issued by the Bureau of Indian Affairs (BIA) recognizing you as American Indian/Alaska Native  
  • Federal or state census records showing U.S. birth 
  • Final adoption decree showing U.S. birth 
  • Hospital birth record   
  • Hospital souvenir birth certificate  
  • I-872 American Indian Card  
  • Institutional admission papers 
  • Insurance record showing U.S. birth ref 
  • Legal birth certificate 
  • Northern Mariana card I-873 
  • Official military records showing U.S. birth 
  • Official religious record showing U.S. birth 
  • Other birth records 
  • Power of attorney document 
  • Qualifying school record showing U.S. birth 
  • Religious record 
  • Report/certificate of birth abroad of U.S. citizen (DS-1350, FS-240, or FS-545)  
  • A statement signed by the physician/midwife attending the birth  
  • U.S. passport  
  • Voter Registration card

Income

TIP: Remember to provide proof of income for anyone who is included on your federal tax return, even if they don’t need health coverage.

  • Form 1040 federal or state tax return 
  • Pay stubs (within 60 days of issuing)
  • Social Security Administration statements 
  • Unemployment benefits letter 
  • Wages and tax statement (W-2 or 1099)
  • Form 8879
  • Form 1040 with Schedule C, F, or SE
    • NOTE: A 1040 form is not required where you are only reporting self-employment income   
  • Form 1065 Schedule K-1 with Schedule E
  • Tax return 
  • Bookkeeping records 
  • Profit and loss statement
  • Form 1040 federal or state tax return
  • Annuity statement 
  • Statement of pension distribution from any government or private source
  • Workers' compensation letter 
  • Prizes, settlements, awards, including court-ordered awards letter 
  • Proof of gifts and contributions 
  • Proof of inheritance in cash or property 
  • Proof of strike pay and other benefits from unions 
  • Interests and dividends income statement
  • Loan statement showing loan proceeds 
  • Royalty income statement or 1099-MISC 
  • Proof of bonus/incentive payment
  • Proof of severance pay 
  • Paystub indicating sick pay 
  • Letter, deposit, or other proof of deferred compensation benefits 
  • Paystub indicating substitute/assistance pay 
  • Paystub indicating vacation pay
  • Proof of residuals
  • Letter, deposit, or other proof of travel/business reimbursement pay