When people shift between the health exchangesComposite Health Care System II (CHCS II) is the U.S. Department of defense Health Record System. and MedicaidComposite Health Care System II (CHCS II) is the U.S. Department of defense Health Record System. as a result of a change in income. It creates gaps in coverage when people lose MedicaidComposite Health Care System II (CHCS II) is the U.S. Department of defense Health Record System. eligibility after their increases. However, if the income increase is only temporary, such as a seasonal job or over time work, then the individual must re-enroll when their income drops.

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