Overview of Form 1095-B Health Coverage

• Form 1095-B Health Coverage is a tax form which reports what type of health insurance a recipient has and for what months of the year. It is used by recipients to report medical coverage on their income tax return.
• DC Medicaid is required to send recipients 1095-B forms. Each January, recipients will receive a form if they have received health coverage through the District of Columbia's Medicaid, CHIP, DC Healthcare Alliance, or Immigrant Children's Program(ICP). The forms are provided so that recipients can document information about their health coverage to federal Internal Revenue Service (IRS) and the District of Columbia Office of Tax And Revenue (OTR).

Access to Form 1095-B Health Coverage Tax Forms

• If you are a recipient and would like to view and/or print a copy of your 1095-B HealthCare Coverage Statement, you need to create an account by registering. Click “WEB REGISTRATION” on the left navigation panel to get started.
• Already have an account; please login by entering your User ID and Password.
• Once you have successfully logged in, you will see “1095-B Statement” on the left navigation panel under “RECIPIENT – Secure Options”

Questions or Incorrect Form 1095-B Health Coverage

• If you believe the information on your Form 1095-B is incorrect, please go to www.dchealthlink.com for information on how to request a Corrected Form 1095-B, or call DC Health Link at 1-855-532-5465.