1095 Information

Haga clic aquí para ver esta página en español.

1095B tax form will be mailed to your address of record no later than February 28, 2017. 1095B provides information that verifies health insurance coverage for Medicaid or the Children's Health Insurance Program (CHIP) for 2016. Remember that you do not have to file the form with your taxes.

Please utilize the web portal at https://nmmedicaid.acs-inc.com to request a reprint or use the "Ask a Representative" function.

If you have questions regarding your 2016 Federal taxes or Federal tax filing please contact the IRS at 1.800.829.1040. IRS FAQs can be accessed at https://www.irs.gov/Affordable-Care-Act/Questions-and-Answers-about-Health-Care-Information-Forms-for-Individuals

If you need to update your name, social security number, household size, permanent address or dispute coverage please contact the ISD Office at 1-800-283-4465. Please do not mail back your 1095B with changes to name, SSN, head of household, address or any other information. Please contact the ISD Office at 1-800-283-4465 for changes to eligibility records. Conduent cannot correct your eligibility records.

If you have not received a 1095B by March 3rd please go to the web portal at https://nmmedicaid.acs-inc.com and request a re-print.