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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 Age (Date of Birth) 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. Data sources could include SSA or Vital Stats. Social Security Number ** NO NO YES N/A N/A N/A YES Paper documentation required if a discrepancy found. Citizenship ** NO NO YES N/A N/A N/A YES Citizenship can be verified through vital statistics if the child was born in Alaska or a birth certificate is changed due to adoption. Will use vital statistics first prior to requesting paper documentation from the individual. Immigration Status ** NO NO YES N/A N/A N/A YES Household Composition YES NO NO N/A N/A NO NO Paper documentation required if a discrepancy found such as when an individual is listed on two applications. Paper documentation required to verify custody when two parents living separately both are applying for the child. Will request documentation showing who has custody of child 51% of the time. Pregnancy *** YES NO NO N/A N/A NO NO Caretaker Relative 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. If a discrepancy were identified, state can use Vital Stats for verification, and if necessary ask for an explanation and only request paper documentation if still needed. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 2