Proof of Non-Incarcerated Status

In order to enroll in a QHP, individuals cannot be incarcerated, other than incarceration pending the disposition of charges.

Individuals subject to home confinement may be eligible to enroll in a QHP on the Exchange if they are not otherwise able to access health services through a correctional institution.

To demonstrate one is not incarcerated:

• Discharge ID (only valid for 1 month following release date)
• Discharge records
• Dated and signed letter from parole or probation officer with a seal or stamp from the Department of Corrections
• Adult applicants may present, in person, with a valid photo ID at the HSRI Drop Off Center

If you are unable to fill out any of these documents, you may fill out this form to attest that you have no access to other health coverage.