Edit, Download, and Sign the Medicaid 1095-B Tax Form Instructions for Members
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How do I fill this out?
To fill out the 1095-B Tax Form, start by ensuring that your personal information is updated. Next, identify the months you had health coverage during the previous year, as indicated on the form. Finally, retain this form for your tax records and ensure it's submitted alongside your tax return.

How to fill out the Medicaid 1095-B Tax Form Instructions for Members?
1
Verify your personal information is correct.
2
Identify months of coverage from the form.
3
Keep the form for your tax records.
4
Submit it with your tax return.
5
Contact support if you have questions.
Who needs the Medicaid 1095-B Tax Form Instructions for Members?
1
Georgia Medicaid members who received coverage in 2018.
2
Foster care members needing tax information.
3
Individuals receiving Medical Assistance through CMOs.
4
People enrolled in Supplemental Security Income (SSI).
5
Anyone required to prove health coverage to avoid penalties.
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What are the instructions for submitting this form?
To submit the 1095-B form, ensure all information is correctly filled out before sending it. You can send it via mail to the Georgia Department of Community Health or your respective CMO. For online submissions, visit the GAMMIS Web Portal or your CMO's website for guidance. If you have any questions, contact DFCS or your CMO for assistance.
What are the important dates for this form in 2024 and 2025?
In 2024 and 2025, it's essential to be aware of the deadlines surrounding the distribution of the 1095-B forms, typically mailed by January 31st. Ensure that your address is updated by December 15th of the previous year to avoid delays. Keep in mind that these dates may vary slightly, so staying informed is crucial.

What is the purpose of this form?
The 1095-B Tax Form serves as proof of health coverage for individuals enrolled in Medicaid or PeachCare for Kids. It is required by the IRS to confirm compliance with the Affordable Care Act provisions. Accurately completing and filing this form is critical to avoid potential penalties during tax season.

Tell me about this form and its components and fields line-by-line.

- 1. Name of Insured: The full name of the individual who received health coverage.
- 2. Coverage Period: The months during which the individual was covered.
- 3. Issuer Information: Details about the Medicaid program or CMO providing the coverage.
- 4. Dependents Covered: Names of any dependents who were included in the coverage.
What happens if I fail to submit this form?
Failing to submit the 1095-B form can lead to complications with your tax filing process. The IRS may impose penalties for not reporting health coverage accurately. It's important to ensure that this form is submitted or kept for your records to prevent any issues.
- Tax Filing Delays: Not having the form may result in delays in processing your tax return.
- Potential Penalties: You may incur penalties for not reporting adequate health coverage.
- Inaccurate Tax Returns: Failure to submit the form could result in erroneous tax filings.
How do I know when to use this form?

- 1. To File Taxes: Essential for completing your tax return accurately.
- 2. To Prove Coverage: Needed to demonstrate compliance with health coverage requirements.
- 3. For Personal Records: Important to keep for future reference and tax filings.
Frequently Asked Questions
What is the purpose of the 1095-B Tax Form?
The 1095-B Tax Form provides information about health coverage for tax reporting purposes.
Who is required to receive the 1095-B form?
Any Georgia Medicaid member who received coverage during the previous year will receive the form.
When will I receive my 1095-B form?
The forms will be mailed out in January following the coverage year.
How do I update my address for the 1095-B form?
You can call DFCS at 1-877-423-4746 to update your address.
Can I download my 1095-B form online?
Yes, the form can be downloaded via the GAMMIS Web Portal or from your CMO's website.
What should I do if I don't receive my 1095-B form?
Contact your CMO or DFCS to ensure your address and information are correct.
Is it necessary to file the 1095-B form with my taxes?
Yes, you should keep the form for your records and use it when completing your tax return.
What happens if I receive the 1095-B form with incorrect information?
You should reach out to your CMO to correct any inaccuracies before filing your taxes.
Can I get assistance with filling out the 1095-B form?
Yes, there are resources and FAQs available to help you complete the form.
What if I need more information about my health coverage?
You can contact your CMO or refer to the Georgia Department of Community Health for more details.
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