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Tavenner Grilled on Healthcare Reform Status

Margaret Dick Tocknell, for HealthLeaders Media, August 5, 2013

Income verification and self attestation
Tavenner assured House members that there will be a "100% check" against IRS records to confirm income eligibility for premium subsidies on the exchanges. Equifax, which has the CMS contract for income verification, will also be part of the process.

She explained that when IRS and Equifax records match the application process proceeds. If not, an applicant will need to produce pay stubs or other records as proof of income and go through the self attestation process. That was sticking point for several committee members.

Rep. Marsha Blackburn (R-TN) recounted the difficulties experienced by Tennessee when it used self-attestation to qualify low-income members for its TennCare program. Tavenner explained that CMS would verify every self-attestation within 90 days, although individuals will be allowed to enroll in a health plan pending the review.

"If someone is committing fraud how quickly will you remove them?" asked Blackburn. "Immediately," Tavenner replied.

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