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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Alaska Eligibility Factor Self-Attestation Accepted without Additional Verification (Y/N) Self- Attestation Accepted with Post- Eligibility Verification (Y/N) Electronic Data Source Used (Y/N) Reasonable Compatibility Standard Used Specify Reasonable Compatibility Standard for Income Ask for a Reasonable Explanation from the Individual (Y/N) Paper Documentati on Required from the Individual (Y/N) Comments Income* YES NO YES Both are above, at or below the applicable income standard. Percent Threshold 10% YES YES Self-attestation will be accepted for self-employment income only. Only requiring paper documentation if discrepancy can not be clarified via phone contact with individual or employer. If the individual attests to income below the applicable standard, and the data source indicates income above the applicable standard, and the difference between the two is greater than 10% then a reasonable explanation or paper documentation will be requested. When an individual attests to income above the applicable standard and data source indicates income below the standard, state will take that attestation and make the person ineligible and screen for APTC (Advance Premium Tax Credits). Residency YES NO NO N/A N/A NO NO Only if information is found in the course of verification of other criteria or updating the account that is shared with other programs would additional verification through other electronic data sources or requesting information from the individual be done. Section A. Verification Procedures for Factors of Eligibility MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 1