[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-301965-105":53,"doc-detail-301965-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","amb-az-cms-inconsistency-outreach-letter-instructions-to-upload-supporting-documents","AMB-AZ CMS Inconsistency Outreach Letter - Instructions to Upload Supporting Documents","","Outreach notice explains that the Health Insurance Marketplace requires additional information to verify details submitted for Ambetter coverage through Arizona Complete Health. It instructs recipients to review a prior Marketplace notice, then upload requested documents to their HealthCare.gov Marketplace account or mail copies to the listed address. The letter details how document verification works in the account, where to send mailed materials, and the consequences of not submitting documents, including possible loss of eligibility, tax credits, and cost-sharing reductions.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/amb-az-cms-inconsistency-outreach-letter-instructions-to-upload-supporting-documents/301965/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/amb-az-cms-inconsistency-outreach-letter-instructions-to-upload-supporting-documents/301965.png","ImageObject",442,249,{"name":88,"@type":89},"Cart","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-26","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":9},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"Why did the recipient receive this letter?","Question",{"text":108,"@type":109},"The Health Insurance Marketplace notified the recipient that more information is needed to verify the information provided in the application for coverage through the Marketplace.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What is the fastest way to submit the requested documents?",{"text":113,"@type":109},"Upload a copy of the documents to the recipient’s Marketplace account on HealthCare.gov.",{"name":115,"@type":106,"acceptedAnswer":116},"What happens if the recipient does not submit the documents by the required timeframe?",{"text":117,"@type":109},"Eligibility for coverage may be lost for citizenship/immigration status issues, or tax credit and cost-sharing reductions may be recalculated or partially/all lost for income-related issues.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},301965,1790433359,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":76,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":76},18829141979164,"https://eur-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Important: To prevent changes to your coverage in Ambetter from Arizona Complete Health, please respond to the Health Insurance Marketplace  \nYou’re receiving this letter because the Health Insurance Marketplace informed us that they need more information from you to verify the information in your application for coverage through the Marketplace is accurate. The Marketplace needs the following individuals to submit additional documentation:  \nUnless you have already heard from the Marketplace that it has the documents it needs, please send the Marketplace a copy of the documents previously requested by going online and uploading them to your Marketplace account, or by mailing them to the Marketplace at the address below. This will allow the Marketplace to process your paperwork faster so you can continue receiving the health coverage, and tax credit and/or cost-sharing reductions, as applicable, that you are eligible for.  \nFor more information about the documents the Marketplace needs from you, visit your Marketplace account at [HealthCare.gov](HealthCare.gov) or call 1-800-318-2596 (TTY: 1-855-889-4325) . When you’re connected, be ready to provide your state and then ask for a representative to help you.  \nPlease disregard if you have already contacted the Marketplace about these documents.  \nWhat should I do next?  \n1. Look at the previous notice you received from the Marketplace to verify what types of documents you need to submit. Below is a full list of documents for different situations; send only copies of the information needed for your situation.  \n2. Upload a copy of the documents to your Marketplace account. This is the fastest way to get your documents processed. If you can’t upload your documents, you can mail them to the address below. If you mail documents, be sure to mail a copy, and keep the originals foryour records.  \nInstructions for uploading a document [in your account on Healthcare.gov](in your account on Healthcare.gov)  \n1. Use your username and password to log [into your account at HealthCare.gov](into your account at HealthCare.gov)  \n[2](2). Click the link for the application that you have already started that is beneath the heading,“View my current applications”  \n3. Click on “Application Details.” This is on the left hand side of your screen  \n4. Click on the large green “Verify” button  \n5. Select the document type that you wish to use, then click “Select file to upload” and select the file from your computer that you wish to upload  \n6. Click the small green “Upload” box  \n7. Confirm that a green check mark is next to your document. This means you have uploaded your document successfully.  \nWhere should I send my documents?  \nIf you choose to mail your documents rather than uploading them, send a copy of the documents to:  \nHealth Insurance Marketplace  \nAttn: Supporting Documentation  \n465 Industrial Blvd.  \nLondon, KY 40750  \nWhat happens if I don’t submit documents?  \nIf the information the Marketplace requested was about your citizenship or immigration status, you’ll lose your eligibility for coverage through the Marketplace if it doesn’t receive your document(s) within the timeframe listed on the notice the Marketplace mailed to you. You have the option to continue your coverage outside of the Marketplace, but you won’t be able to receive a tax credit or cost-sharing reductions. Please contact Ambetter from Arizona Complete Health directly if you wish to continue coverage outside the Marketplace.  \nIf the information the Marketplace requested was about your income, and it doesn’t receive your document(s) within the timeframe listed on the notice the Marketplace sent you, the Marketplace will use information available through available data sources to recalculate your eligibility and amount of tax credit or cost-sharing reductions, which means you might lose some or all of the help you’re getting to pay for your coverage. Additionally, if your tax credit or cost-sharing reductions are recal","cbCaiaFBkZOWilVa","https://ap.wps.com/l/cbCaiaFBkZOWilVa","pdf",675675,8,"English","# What should I do next?\n## Upload or mail documents\n## Where to send documents\n## What happens if I don’t submit documents?\n# Documents needed to prove citizenship or eligible immigration status\n## Single document options for U.S. citizens or nationals\n## Two-document requirements when lacking listed items","[{\"question\":\"Why did the recipient receive this letter?\",\"answer\":\"The Health Insurance Marketplace notified the recipient that more information is needed to verify the information provided in the application for coverage through the Marketplace.\"},{\"question\":\"What is the fastest way to submit the requested documents?\",\"answer\":\"Upload a copy of the documents to the recipient’s Marketplace account on HealthCare.gov.\"},{\"question\":\"What happens if the recipient does not submit the documents by the required timeframe?\",\"answer\":\"Eligibility for coverage may be lost for citizenship/immigration status issues, or tax credit and cost-sharing reductions may be recalculated or partially/all lost for income-related issues.\"}]","AMB-AZ CMS Inconsistency Outreach Letter - Instructions to Upload Supporting Documents | PDF",1789787521]