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Incarcerated and Recently Released Consumers

March 2022. This information is intended only for the use of entities and individuals certified to serve as Navigators or certified application counselors in a Federally-facilitated Marketplace. The terms Federally-facilitated Marketplace and FFM, as used in this document, include FFMs where the state performs plan management functions. Some information in this manual may also be of interest to individuals helping Consumers in State-based Marketplaces and State-based Marketplaces using the Federal Platform. This document is intended only as a summary of legal requirements and to provide operational information and does not itself create any legal rights or obligations. All legal requirements are fully stated in the applicable statutes and regulations.

This fact sheet will help you assist incarcerated or recently released consumers and their families. The rules related to coverage of incarcerated consumers through a Marketplace. 1 are different from the rules that apply to Medicaid or Medicare, and it is important that assisters 2

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