Open Enrollment Materials

Open Enrollment starts November 1 to December 15

Required Documents

• CHAP KPIF Forms – Maryland English | Maryland Spanish | Virginia English | Virginia Spanish
• CHAP Open Enrollment Subsidy Forms – Maryland English | Maryland Spanish | Virginia English | Virginia Spanish
• Community Partner Verification Form (MUST BE ATTACHED – ONLY for ASSIGNED CHAP Navigators) – View Community Partner Verification Form
• Income Attestation Form (optional) – View Income Attestation Form

Application Reminders

• Household Size / Family Income Q&A – View Q&A
• CHC CHAP Open Enrollment Tip Sheet – English | Spanish
• CHAP Pre-Screening Reminders – View Prescreening Reminders
• Scanning and Emailing Documents Tip Sheet – English | Spanish
• Community Partner Contact List – View Community Partner Contact List